Surely a good advert for open access echo cardiography. Unless you know the
severity of the stenosis you cannot predict who will need further
investigation or treatment. Once they collapse, it may be too late!
Trefor
Dr Trefor Roscoe
GP Beighton Health Centre
Queens Road, Beighton Sheffield S20 5JX
Tel;0114 269 5061 Fax;0114 269 7186
GP Tutor Informatics - N Trent
http://www.medical-legal.co.uk
>-----Original Message-----
>From: [log in to unmask]
>[mailto:[log in to unmask]]On Behalf Of Joseph Gallagher
>Sent: 16 June 1998 23:46
>To: GP-UK
>Subject: Aortic Stenosis
>
>
>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?
>
>
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