A 70-year-old male presents with a history of syncope. On
examination he has a pulse rate of 60 beats per minute, small volume, slow
rising. His jugular venous pressure is not elevated, apex beat is at the 5th
left intercostal space, mid-clavicular line, heaving in nature. The second
heart sound is single, there is an ejection systolic click and there is a
harsh loud, ejection systolic murmur radiating to the neck.
In this patient which of the following physical signs
relates to the severity of the lesion?
Heaving apex beat
Presence of an ejection click
Intensity (loudness) of the murmur
Duration of the murmur
Radiation of the murmur into the neck