4/6 systolic ejection murmur

Exertional chest pain?_8.jpg

Exertional chest pain?

Physical examination (seeks to rule out hypertension, Marfan habitus, aortic stenosis or coarctation, and hypertrophic obstructive cardiomyopathy) Brief musculoskeletal survey Bilateral brachial blood pressures Cardiac auscultation in seated or standing position Reduces or eliminates innocent flow murmurs. Enhances the murmur of hypertrophic obstructive cardiomyopathy Increases physiologic splitting of S2 (possible atrial septal defect if fixed […] Read more