In aortic stenosis, the carotid impulse is classically "parvus and tardus" -- or decreased in volume and upstroke. The degree of carotid upstroke delay reflects the severity of the aortic stenosis ...

Note the double systolic sound associated with the double summit of the pulsus bisferiens in this case of severe aortic stenosis ... indirect tracings of the carotid or brachial pulse wave ...

Nebraska medicine doctors replace aortic valve through carotid Larry Engel was no stranger ... severe shortness of breath due to aortic stenosis, a tightening or narrowing of the aortic valve ...