This site is intended for healthcare professionals

CPD
CPD
Pro
Pro
Sign in
Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • usually asymptomatic, presenting only with a murmur.
  • if severe obstruction, the cardiac output may be reduced and exertional syncope occasionally can result.
  • longstanding obstruction may result in right ventricular failure and therefore necessitate a high filling pressure - right atrial pressure.
  • patient appears normal unless there is a recognisable syndrome in association.
  • pulse and blood pressure are normal.
  • JVP - a large a wave signifies atrial hypertrophy.
  • may be a parasternal heave due to right ventricular hypertrophy - and maybe a thrill in the pulmonary area.
  • auscultation:
    • pulmonary ejection click - the click disappears on inspiration in severe stenosis.
    • a loud pulmonary ejection murmur - loudest to left of upper sternum, with radiation to the left shoulder.
    • second heart sound - with significant obstruction the P2 is delayed and soft.

Related pages

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.