Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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Which of the following set of symptoms constitute the triad of aortic stenosis?
  1. Angina, vertigo, calf pain
  2. Angina, syncope, dyspnea
  3. Angina, vertigo, headache
  4. Angina, syncope, anasarca
Explanation
Answer- B - Triad of symptoms of aortic stenosis consists of angina, syncope, and dyspnea.
•Angina (exertional): due to concentric LVH and subendocardial ischemia (decreased subendocardial flow and increased myocardial O2 demand), may have limitation of normal activity or resting angina in tight AS (associated with <5 year survival)
•Syncope: due to fixed CO or arrhythmia (<3 year survival)
•Dyspnea (LV failure): systolic +/- diastolic dysfunction, pulmonary edema, may have orthopnea, if secondary RHF may have ascites, peripheral edema, congestive hepatomegaly (<2 years)
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