Missed diagnosis of severe symptomatic aortic stenosis

Am J Cardiol. 1995 Oct 1;76(10):728-30. doi: 10.1016/s0002-9149(99)80210-0.


Patients with angina pectoris and congestive heart failure with a systolic murmur should be suspected of having significant AS. These patients are frequently women with atrial fibrillation and no left ventricular hypertrophy criteria on the electrocardiogram. Echocardiography with calculation of the aortic valve area is indicated in all these patients.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aortic Valve Stenosis / diagnosis*
  • Diagnostic Errors
  • Echocardiography
  • Echocardiography, Doppler, Pulsed
  • Electrocardiography
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis