What is the classic symptom triad of aortic stenosis (AS)?

Updated: May 07, 2019
  • Author: Xiushui (Mike) Ren, MD; Chief Editor: Terrence X O'Brien, MD, MS, FACC  more...
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Answer

The classic triad of symptoms in patients with aortic stenosis is as follows [1] :

  • Chest pain: Angina pectoris in patients with aortic stenosis is typically precipitated by exertion and relieved by rest.

  • Heart failure: Symptoms include paroxysmal nocturnal dyspnea, orthopnea, dyspnea on exertion, and shortness of breath.

  • Syncope: This often occurs upon exertion when systemic vasodilatation in the presence of a fixed forward stroke volume causes the arterial systolic blood pressure to decline.


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