Usually systolic pressures are low in significant aortic stenosis (AS). But hypertension can be associated as an independent condition in elderly with degenerative calcific aortic stenosis. In fact, hypertension can be present in along with as many as one third of elderly with aortic stenosis. Presence of hypertension may alter the physical findings of aortic stenosis. The carotid upstroke may be prominent, unlike in usual aortic stenosis. The murmur intensity may be diminished and the second heart sound can be near normal. The presence of hypertension makes the left ventricle (LV) a double loaded chamber with valvular obstruction and vascular resistance presenting dual loads. The valvuloaortic impedance measures the global load to the left ventricle due to aortic stenosis and hypertension.