Discrete Subaortic Stenosis in an Elderly Patient

Jaideep Dey, Nadeem Akhtar, V. Shama, Arif Mustaqueem, S. Shrivastava
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Abstract

Discrete subaortic stenosis is an uncommon condition in the elderly population. Echocardiographic examination can be useful for diagnosis with high accuracy. We present a case report of an elderly female patient who presented with accelerated hypertension and was subsequently diagnosed with discrete subaortic stenosis on transthoracic echocardiography. A significant, non-dynamic, left ventricular outflow tract pressure gradient in the presence of aortic regurgitation should raise the possibility of this condition in patients of geriatric age group.
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离散性主动脉下狭窄的老年患者
离散性主动脉下狭窄在老年人群中并不常见。超声心动图检查有助于诊断,准确率高。我们报告了一例老年女性患者,她表现为高血压加速,随后经胸超声心动图诊断为离散性主动脉下狭窄。存在主动脉反流的显著的、非动态的左心室流出道压力梯度应提高老年年龄组患者发生这种情况的可能性。
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期刊介绍: Indian Association of Clinical Medicine is an academic body constituted in the year 1992 by a group of clinicians with the main aim of reaffirming the importance of clinical medicine in this era of high-tech diagnostic modalities. There is no doubt that modern investigational methods have contributed a lot to the present day medical practice but that does not render clinical acumen and examination less important. The art and science of clinical medicine helps up to make proper and judicious use of investigations and not these be the sole basis of our practice. That is the basic idea behind this ''Association''. We presently have members and fellows of the association from all over the country. In August, 2002 the body was registered as "Indian Association of Clinical Medicine" by the Registrar of Societies, Delhi.
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