Objectives:
The fact that she has an early-peaking murmur, has a normal carotid pulse volume, and that you can hear both components of the second heart sound suggests that her valve is not critically stenotic (usually defined as a valve are of less then 0.8 cm2or a peak transvalvular gradient of more than 50 mm Hg (JAMA 1997; 277: 564-571)). ................
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