Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll The patient with a systolic murmur: severe aortic stenosis may be missed during cardiovascular examination Das P; Pocock C; Chambers JQJM 2000[Oct]; 93 (10): 685-8Significant aortic stenosis is prevalent amongst elderly people. It may be subclinical, manifesting only as a murmur, but can still cause unexpected death with little warning after symptoms develop. Recent studies have highlighted the unreliability of the classical clinical signs of severe aortic stenosis, leading to concern that some patients may not be referred appropriately for echocardiography. Here, we review the evidence for the accuracy of each sign. We suggest that the assessment of the patient with a systolic murmur should be reappraised, and offer guidelines toward improving the recognition of aortic stenosis in the community.|Aged[MESH]|Aortic Valve Stenosis/complications/*diagnosis[MESH]|Diagnosis, Differential[MESH]|Heart Murmurs/*etiology[MESH]|Humans[MESH]|Patient Selection[MESH]|Practice Guidelines as Topic[MESH]|Predictive Value of Tests[MESH]|Sensitivity and Specificity[MESH] |