I tend to refer a lot of these patients on to a cardiologist if I detect an
Aortic Stenotic murmer , even asymptomatic cases. A colleague today says he
only refers them if they develope angina , syncope or dyspnoea. Am I over
referring on this or is he under referring?
One more related question. You carry out a routine examination on a
hypertensive patient who is well controlled on Captopril for ages and you
detect an Aortic Stenotic murmer. What do you do?
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|