Aortic valve stenosis; Left ventricular outflow tract obstruction; Rheumatic aortic stenosis; Calcium aortic stenosis
People with aortic stenosis may have no symptoms at all until late in the course of the disease. The diagnosis may have been made when the healthcare provider heard a heart murmur and then performed additional tests.
Symptoms of aortic stenosis include:
Chest pain, angina-type
- Crushing, squeezing, pressure, tightness
- Pain increases with exercise, relieved with rest
- Under the chest bone, may move to other areas
Fainting, weakness, or dizziness with activity
- Sensation of feeling the heart beat (
In infants and children, symptoms include:
- Becoming tired or fatigued with exertion more easily than others (in mild cases)
- Serious breathing problems that develop within days or weeks of birth (in severe cases)
Children with mild or moderate aortic stenosis may get worse as they get older. They also run the risk of developing a heart infection (bacterial endocarditis).
Signs and tests
The health care provider will be able to feel a vibration or movement when placing a hand over the person's heart. A heart murmur, click, or other abnormal sound is almost always heard through a stethoscope. There may be a faint
Infants and children with aortic stenosis may be extremely tired, sweaty, and have pale skin and fast breathing. They may also be smaller than other children their age.
The following tests may be performed:
- Doppler echocardiography
- Exercise stress testing
- Left cardiac catheterization
- MRI of the heart
- Transesophageal echocardiogram (TEE)
Review Date: 05/07/2010
Reviewed By: Issam Mikati, MD, Associate Professor of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.