A 70 year old male presents with
syncope. There is no significant past history. On examination you note that he
has a slow rising pulse, BP 90/60, JVP not elevated, apex beat 5th
left intercostal space just lateral to the mid-clavicular line heaving in
nature. The second heart sound in soft and there is a harsh ejection systolic
murmur at the aortic area and the murmur radiates to the neck.
In this patient which one of the
following would be an indication for valve replacement?
Square area of valve 1.6 cms2
left ventricular hypertrophy on ECG