Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of known mild aortic stenosis. Currently asymptomatic, denying exertional dyspnea, chest pain, syncope, or palpitations. Functional capacity remains preserved (NYHA Class I). No recent change in exercise tolerance.
Clinical Examination Findings
Cardiovascular exam: Regular rate and rhythm, S1 and S2 normal. Soft, early-peaking systolic ejection murmur (grade 1-2/6) heard best at the right upper sternal border with minimal radiation to the carotids. No diastolic murmurs. Peripheral pulses are full and symmetric. No signs of congestive heart failure.
Treatment Protocol
Plan: Continue clinical surveillance with serial echocardiography every 3-5 years as per current guidelines. Maintain strict blood pressure control. Advise patient to report any new onset of symptoms (dyspnea, angina, or syncope) immediately. Continue current cardiovascular medications as prescribed.