A 68-year old man who has had a recent syncopal Episode is hospitalized with congestive hea failure failure. His blood pressure is 160/80 mm Hg. His pulse rate is 80 Beats minute,and there is agrade lll/lV harsh systolic murmur.
Radiation of the murmur to die neck. Decrease of me murmur with handgrip Delayed carotid upstroke Reduced left ventricular ejection fraction