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Medicine Miscellaneous 70f6e632

In Valvular Aortic Stenosis poorest prognosis is indicated when

A
Angina occurs
B
Syncope occurs
C
Dyspnoea occurs
D
Palpitation occurs
High-Yield Explanation
(C) Dyspnoea occurs > Death in patients with severe AS occurs most commonly in the seventh and eighth decades.# The average time to death after the onset of various symptoms was as follows: Angina pectoris-3 years; Syncope-3 years; Dyspnea - 2 years; Congestive heart failure - 1.5 to 2 years.> Congestive heart failure was considered to be the cause of death in one-half to two-thirds of patients.> Among adults dying with valvular AS, sudden death, which presumably resulted from an arrhythmia, occurred in 10 to 20% and at an average age of 60 years.

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