Algorithm for probability of moderate to severe aortic stenosis in the presence of a typical murmur

Findings Points
Delayed carotid pulse 3
Diminished carotid pulse 2
Heard best R USB 2
Single/absent S2 3
Calcified aortic valve on CXR 4

Interpretation for probability of moderate to severe aortic stenosis

  • Low probability 0-6 points (LR .02)
  • Indeterminate probability 7-9 points
  • High probability 0-6 points (LR 10.6)

Reference: McGee, S. Evidence based physical diagnosis. WB Saunders Co. 2001.