Pre PACES Podcast #3 Aortic Stenosis
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Feb 28, 2021 Dr. Stephen Dorman, a consultant interventional cardiologist and TAVI lead at the Bristol Heart Institute, dives deep into aortic stenosis and its clinical nuances. He explains the telltale murmur sounds, palpation clues, and common signs of decompensation. The discussion covers the relationship between aortic stenosis and anemia, distinguishing it from aortic sclerosis, and the critical decision factors for TAVI versus surgical replacement. Plus, don’t miss the fun rapid-fire quiz on windsurf foils where Dr. Dorman reveals his expertise outside medicine!
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TAVI Is Now Central To Aortic Stenosis Care
- TAVI has rapidly expanded and now dominates many interventional cardiologists' workload.
- Dr Stephen Dorman estimates about 70% of his practice is aortic stenosis and TAVI work.
Use Murmur And Pulse To Suspect AS
- Listen for a crescendo-decrescendo (whoosh-whoosh) systolic murmur with late peaking to suspect severe AS.
- Check the pulse for a slow, late-rising character to increase your suspicion of aortic stenosis.
Palpate The Pulse First
- Palpate the arterial pulse before auscultation and note if it is slow rising and late.
- Use that tactile clue to prime your ear for an ejection systolic murmur of AS.