She also had rheumatic heart disease, mainly aortic regurgitation. An additional diagnosis of mitral stenosis was considered because of an accentuated first apical sound and a presystolic murmur.
In each the typical physical findings of mitral stenosis were present; these included a sharp mitral first sound ... murmur and an opening snap. There was no clinical evidence of dynamic aortic ...
Aortic stenosis is a disease often diagnosed in its asymptomatic phase due to its distinct murmur and the widespread ... The intensity of the second heart sound is often diminished due to the ...