Show Summary Details
Page of

Chest Pain 

Chest Pain
Chest Pain

Andrew Caddell

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 20 September 2021

This case addresses symptomatic severe aortic stenosis (AS). AS symptoms typically are chest pain, dyspnea, and syncope. Physical exam findings of AS may be present regardless of severity of aortic stenosis, and they include slow rate of rise of the carotid pulse, mid- to late peak intensity of the murmur, and decreased intensity of the second heart sound. Medical management of symptomatic aortic stenosis is challenging. In the presence of the fixed outlet obstruction of AS, vasodilators (such as nitroglycerin) must be used with caution. The definitive management of aortic stenosis is surgical. Among frail patients, transcatheter aortic valve implantation is a reasonable alternative to open surgery.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.