68 yo male with dyspnea, denies syncope or chest pain has an echo which demonstrates a calcified and restricted aortic valve without significant aortic regurgitation. and an EF 25-30%. What signs or symptoms would alert you that his aortic valve disease may be worsening to aortic stenosis?
Dizziness and vomiting
Syncope and chest pain
Palpitations and nausea
Fatigue and nocturia