Aortic sclerosis

This is senile degeneration of the aortic valve and is not associated with left ventricular outflow tract obstruction.

Clinical presentation:

• asymptomatic
• on examination: pulse normal; ejection systolic murmur (no ejection click or abnormal second heart sound) (1)
• there is no slow-rising pulse (plateau pulse) that is found in patients with aortic stenosis (1)

Reference:

• Kirby, B. (1993). Clinical examination of the heart. Medicine International;21(8):294-99.