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Aortic regurgitation
blowing diastolic murmur at the left sternal border with a mid-diastolic rumble
Wide pulse pressure
- Dx: trans-esophogeal echocardiogram
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- Tx: Ca channel blockers, ACE (chronic)
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Austin-Flint sign
In aortic regurgitation: The Austin-Flint murmur is due to blood flowing backwards through the aortic valve and hitting the anterior leaflet of the mitral valve.
Primary indication for valve replacement.
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Duroziez’s sign
femoral bruit heard while auscultating the femoral artery
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Circumflex coronary artery occlusion
- ECG: ST segment elevation in leads II, III and aVF corresponding to the inferior wall + st elevations leads I, V5, and V6, which correspond the the lateral wall of the heart.
- This is an inferolateral STEMI
Circumflex -branch of the left main coronary artery and supplies the lateral wall of the myocardium, supplies the inferior wall (known as a dominant circumflex, occurs 15% of the time).
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