Which of the following physical signs is seen in a patient with severe aoic stenosis:: (A) Opening snap, (B) Diastolic rumble, (C) Holosystolic murmur, (D) Delayed peak of systolic murmur
Answer is D. Answer is D (Delayed peak of systolic murmur) The ejection systolic murmur stas after the ejection click reaches a peak in midsystole. With increasing severity of aoic stenosis the peak gets delayed so that the maximum intensity of the murmur is closer to the end rather than being midsystolic.