Invasive blood pressure monitoring is fairly common in acute care setting, using a small cannula in radial artery connected to a pressure transducer system.
Symptoms pointing to specific valvular lesions: PND in MS, angina in AS, exertional palpitation in MR/AR, syncope in AS, episodic palpitation in MS with AF
Risk factors for the development of thoracic aortic aneurysm include hypertension, smoking, male gender, advancing age, obesity, positive family history and bicuspid aortic valve.
Long systolic murmur with severe cyanosis in Tetralogy of Fallot can occur with absent pulmonary valve, restrictive VSD or AV canal defect (MR/TR murmur)
Venesection in cyanotic heart disease is done in symptomatic polycythemia with Hb > 20 gm% & hematocrit > 65 % and is replaced with equal amount of saline