Signs
Heart Sounds
- Ejection systolic murmur:
- Harsh, crescendo-decrescendo in nature
- Loudest over the aortic area (second right intercostal space)
- Exacerbated by asking the patient to lean forward and taking a deep breath in.
- May radiate to the carotids.
- May lessen in intensity as the severity increases due to reduced cardiac output
- Ejection click preceding murmur
- Soft or absent S2