A 72 year old man comes to the clinic because of exertional chest pain and several episodes of lightheadedness while climbing stairs. He has a history of hyperlipidemia and hypertension. Physical examination shows a harsh crescendo decrescendo systolic murmur best heard at the right second intercostal space with radiation to the carotids. His carotid upstroke is delayed and diminished. Which of the following is the most likely diagnosis?
- A)Ventricular septal defect
- B)Aortic stenosisGABARITO
- C)Hypertrophic cardiomyopathy
- D)Mitral valve prolapse
- E)Mitral regurgitation
Explicação
Aortic stenosis is correct. This older patient has the classic triad of exertional angina, syncope, and dyspnea risk along with a crescendo decrescendo systolic murmur radiating to the carotids and pulsus parvus et tardus. In elderly patients, the usual cause ... Ver explicação completa e trilha adaptativa →