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发帖数: 41 | 1 34. A 10-year-old Asian-American boy is brought to the office for a sports
physical examination. He has been healthy except for a few episodes of
otitis media as an infant. He has had no shortness of breath, syncope or
chest pain in the past. Growth has been normal. Vital signs are: temperature
36.6°C (97.8°F), pulse 80/min, respirations 16/min, and blood pressure
110/76 mm Hg. Cardiac examination discloses an early systolic click at the
apex, a midsystolic ejection murmur at the right upper sternal border and a
thrill in the suprasternal notch. The remainder of the physical examination
is normal. The patient is referred to the cardiologist and the diagnosis of
aortic stenosis is confirmed by echocardiogram. Close follow-up and graded
exercise testing are recommended. The patient is at increased risk for which
of the following?
A) Atrial arrhythmias
B) Complete heart block
C) Coronary artery disease
D) Pulmonary hypertension
E) Sudden death
C or E? Why? Please explain?
Many Thanks. | l********z
发帖数: 810 | 2 It is E, but I do not know why either. |
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