The syncope patient with a murmur is typically referred for echocardiographic evaluation. The clinical symptom triad of aortic stenosis is: congestive heart failure, angina and syncope. Cardiac diseases that are diagnosed by echocardiography (myocardial infarction, cardiomyopathies, left or right ventricular outflow obstruction) can have associated arrhythmias that cause the syncopal episode.
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