Echocardiography differentiates aortic stenosis etiology. Normal: thin cusps, triangular orifice. Calcific (Degenerative): calcium on aortic side, stellate orifice. Rheumatic: commissural fusion, triangular orifice. Bicuspid: two cusps (often with raphe), elliptical orifice. Morphology guides prognosis and timing of intervention. #Cardiology #Echocardiography #AorticStenosis #ValvularHeartDisease #echofirst
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