RUSB, SEM , C-DC, → carotid, 4+, medium pitch, harsh, louder by lean forward/squatting/valsalva release
- S4
Asso. w/ old age, narrow pulse pressure at carotid (decreased carotid pulse), apical-carotid delay, radio-brachial delay
Aortic stenosis murmur
RUSB, SEM , C-DC, → carotid, 4+, medium pitch, harsh, louder by lean forward/squatting/valsalva release
Asso. w/ old age, narrow pulse pressure at carotid (decreased carotid pulse), apical-carotid delay, radio-brachial delay