A 72-year-old man with a 10-year history of hypertension presents with dyspnea on exertion and chest pain. On examination, he has a sustained apical impulse displaced laterally, and a crescendo-decrescendo systolic murmur at the right upper sternal border that radiates to the carotids. Carotid pulses are weak and delayed. Which of the following is the most likely diagnosis?

  1. A)Mitral stenosis
  2. B)Aortic regurgitation
  3. C)Aortic stenosisGABARITO
  4. D)Tricuspid stenosis
  5. E)Mitral regurgitation

Explicação

Aortic stenosis presents with a crescendo-decrescendo systolic murmur at the right upper sternal border radiating to the carotids, weak and delayed (pulsus parvus et tardus) carotid pulses, a displaced apical impulse from ventricular hypertrophy, and the class... Ver explicação completa e trilha adaptativa →

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