Doctor insights on:
Is Aortic Regurgitation Hereditary
Slowly unless..: Depending on the cause, it may progress quite slowly unless there is further unjury to the valve from inflammation, infection, or uncontrolled hypertension. If it is already severe, the main concern is to determine when the valve leak is putting to much strain on the heart and your doc has to monitor that. ...Read more
Long course: If the ar is acute (eg due to infection or trauma), the problem is urgent. Otherwise, there is a period of many decades in which it should be monitored. Mild ar may never cause symptoms or require treatment. Serial echocardiograms done over the years will determine if the ar is leading to harm. Treatment is replacement of the aortic valve. Amlodipine may slow progression over the years. ...Read more
Leakage: The aortic valve, when closed, prevents blood from rushing back into the left ventricle from which it has just been expelled by contraction of that chamber during systole. When there is some form of abnormality to the valve there may be leakage back into the left ventricle during diastole. Therefore, the blood is regurgitating back. ...Read more
Many causes: Acute: blood infection leading to valve infection (endocarditis), trauma, a tear in the aorta (dissection), marfan's syndrome. Chronic: high blood pressure/aneurysm, congenital bicuspid valve, syphilis, behcet's, takayasu, and reiter syndrome, ankylosing spondylitis, rheumatoid arthritis and idiopathic (cause unknown) - this is a board question! ...Read more
Echocardiogram: An echocardiogram in the hands of a skilled cardiologist is probably best for detection of almost all cardiac valve disorders. Sometimes an echo done "internally" through a scope into the esophagus is needed, a trans-esophageal echo. In severe disease, a heart catheterization will often be done, usually if surgery is to be contemplated to repair a bad valve, but not just for detection. ...Read more
AORTIC REGURGITATION: Aortic regurgitation is reflux of blood through an incompetent aortic valve into the left ventricle during ventricular diastole (relaxation). During ventricular systole (contraction), blood is pumped from the left ventricle into the aorta. Because of a leaky aortic valve, the pumped blood returns to the left ventricle. ...Read more
Aortic regurgitation: Minimal aortic regurgitation may not progress. Moderate or worse aortic regurgitation generally gradually results in progression of the problem over years. It is prudent to monitor the situation periodically to see if progression is happening. Echocardiography is very useful for this purpose. ...Read more
Many causes: Aortic regurgitation may be due to diseases with a familial distribution but there are many causes : congenital bicuspid aortic valve, long standing high blood pressure, marfan's syndrome, ankylosing spondylitis, behcet's disease, reiter's syndrome, rheumatoid arthritis - just to name a few. ...Read more
Hello, what does eccentric mean in mild eccentric aortic regurgitation? Is it any different from mild regurgitation.
Jet direction: It is just speaking about the direction of the regurgitant flow. It has no bearing - mild is mild whether eccentric or not. ...Read more
Yes: Aortic regurgitation is a diastolic murmur that is usually well heard on physical exam. Other signs include a wide pulse pressure. An echocardiogram is an ultrasound which allows cardiologist to view your heart structures and function. It will help determine both the degree of aortic regurgitation and possibly why (aortic valve leak, etc.). ...Read more
Symptoms?: Do you mean symptoms? (signs are physical findings your doctor detects during an examination). AR causes no symptoms for many decades, but when it finally does start to cause symptoms, it's congestive heart failure - shortness of breath with minimal exertion or at rest. Less common symptoms are: angina (chest pain) and syncope (passing out). ...Read more
Not very: The stethoscope is a very imprecise tool for detecting and quantifying aortic regurgitation. Moreover, because it's soft and subtle, it's very easily overlooked on a routine exam. ...Read more
Aortic regurg & echo: Echocardiography (echo) is an ultrasound machine used to evaluate the heart including the valves. Doppler is part of the exam that includes both color flow and pulse wave. These help the md assess the degree of leaking of the valve based on various measurements. Usually rated as mild, moderate, or severe. Usually, only when severe does something need to be done. ...Read more
I've been told I have MVP and there are a few pixels of aortic regurgitation is this a normal finding or will it get worse?
As previously: Answered. These findings do not have predictive value. Repeat evaluations over the next several years will provide you with some indication of progression or stability of the valvular involvement but a single data point at this time will not be predictive. ...Read more
I have diagonised with aortic regurgitation which is moderate in 2D and severe in 3D ECHO with lvef 65% and lved 60mm please suggest?
I m 32wk pg with corrective TOF. Nw I have SOB & echo shows, rt. Sided volume overload with mild aortic regurgitation. Wht should I do for delivery?
Pregnancy & heart: Even corrected, Tetralogy of Fallot & related congenital heart conditions can cause right heart problems. Pregnancy and delivery place unaccustomed stress on the heart, w/ markedly increased circulating blood volume. For your pregnancy & delivery you should absolutely receive care in a center with "high risk" obstetrics specialists and experts in congenital heart disease. Super important! Go now! ...Read more
Can aortic regurgitation mimic the symptoms of POTS? I continuously experience forceful heartbeats. Investigated for AS and noted it's a complication?
Bicuspid aortic valv: Yes it is one of the causes of aortic insufficiency ...Read more
Yes: A diastolic decreshendo high pitched murmur heard best leaning forward with the stethoscope over the lower sternum suggest aortic regurgitation, although further evaluation will be necessary. ...Read more
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