Mention the effect of other valvular disease in aortic stenosis (AS) effect of mitral stenosis (MS) on AS

Mention the effect of miral stenosis (MS) on AS

1. There is decreased severity of angina and syncope due to AS.
2. Increased chance of atrial fibrillation
3. Increased chance of pulmonary artery hypertension.
4. Mitral stenosis decrease the length and intensity of ejection systolic murmur.

Mention the effect of miral regurgitation (MR) on AS

1. There is decreased severity of angina and syncope due to AS.
2. Increased chance of atrial fibrillation
3. Increased chance of pulmonary artery hypertension.
4. Mitral stenosis decrease the length and intensity of ejection systolic murmur.

What is the effect of AR (Aortic regurgitation) on AS

1. Pulse volume may be normal if AR is present with AS
2. Pulse pressure may be normal.
3. Apex beat is of normal character.
4. There is an increase in length and intensity of murmur.

What are the auscultatory findings in correlation with age

1. Split of S₂ is usually normal in young.
2. S₂ is usually single in elderly
3. Aortic ejection click (AEC) is found only  1/3  of people above 50 years.
4. Loudness of murmur is not well correlated with the severity in adults.

What is silent AS

1. AS in cardiac failure murmur reappear after treatment of cardiac failure.