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Distinguishing features of different causes

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Ejection systolic murmur that is:

  • maximal over the aortic area:
    • aortic stenosis
    • aortic sclerosis
    • coarctation of the aorta
    • hypertrophic cardiomyopathy

  • pulmonary area:
    • innocent
    • pulmonary stenosis
    • pulmonary hypertension
    • atrial septal defect

  • apex:
    • innocent
    • aortic sclerosis
    • aortic stenosis

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