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Weak and delayed (parvus et tardus) arterial pulses with carotid thrill. A2 soft or absent; S4 common. Crescendo-decrescendo systolic murmur, often with systolic thrill. Murmur is typically loudest at second right intercostal space, with radiation to carotids and sometimes to the apex (Gallavardin effect).

Outline

Section 8. Cardiology