A 61 year old Purushothom presented to the OPD with complaints of dyspnoea, chest pain and syncope. What is he most likely suffering from?
High-Yield Explanation
This patient is suffering from aoic stenosis, which usually manifests during 6th to 8th decade of life. Three cardinal symptoms of aoic stenosis are exeional dyspnea, angina pectoris and synchope. Patients with aoic stenosis become symptomatic when the valvular orifice is narrowed to approximately 1cm2. Reference: Harriosn's Principles of Internal Medicine 18th edition chapter 237.