Behold the power of clinical triads
A few weeks ago, I saw a patient with shortness of breath during my Saturday clinic. He had been short of breath for a few weeks, and on a couple of occasions, he had also experienced mild chest pain. He has known aortic stenosis, moderate according to his last echocardiogram two years ago.
My brain kicked into autopilot, and I asked: “Have you fainted or passed out recently?” It was a …