All are true about isolated aoic stenoses except:
(A) Pulsus bisferiens (B) Cardiac apex is displaced laterally to left (C) Thrill in carotid aery (D) Blood pressure maintained in initial phase
(A) Ans: A. Pulsus bisferiens(Ref Harrison 19/e p15.31, 1536, 18/e p1939)Pulsus bisferiens is seen in a patient of aoic stenosis (AS) along with aoic regurgitation (AR) and is rare in isolated AS.The cardiac apex is usually displaced to left because of left ventricular hyperophy.In some patients with AR or with combined AS and AR, the carotid aerial pulse may be bisferiens, i.e., with two systolic waves separated by a trough.