Aortic Stenosis of No Physiologic Significance

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Abstract
THE clinical diagnosis of aortic stenosis remains a difficult problem in many cases, despite recent advances in knowledge of this condition. The classic signs are familiar: a loud, rough aortic systolic murmur transmitted to the neck; a coarse aortic and carotid systolic thrill; a diminished or absent aortic second sound; a "pulsus parvus et longus," or an anacrotic pulse; a narrow pulse pressure; electrocardiographic evidence of hypertrophy of the left ventricle; and roentgenographic evidence of enlargement of the left ventricle and calcification of the aortic valve. Retrospective studies of pathologically proved cases, however, have shown that this classic picture is . . .