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Clinical manifestations include a decreased stroke volume, reduced systolic pressure secondary to forward flow obstruction, a narrowed pulse pressure, a decreased heart rate, a crescendo decrescendo systolic heart murmur heart beat at the second ICS that radiates to the neck.

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1. Clinical manifestations include a decreased stroke volume, reduced systolic pressure secondary to forward flow obstruction, a narrowed pulse pressure, a decreased heart rate, a crescendo decrescendo systolic heart murmur heart beat at the second ICS that radiates to the neck.





 
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