Clinical findings in adult aortic stenosis--then and now.

A retrospective review of 397 patients with valvular aortic stenosis emphasized the changing pattern of this lesion. Compared with the classical criteria for diagnosis of aortic stenosis established a few decades ago, patients were considerably older, mostly showing the degenerative form of this lesion. Among abnormal findings, the most important difference is the lower intensity of the systolic murmur and wider pulse pressure than in the original 'model'.