Doctor insights on:
What Sort Of Problem Is Aortic Regurgitation
29yo male I have a bicuspid aortic valve with minor to mild concentric aortic regurgitation how concerned should I be for problem in the near future?
Minor: Need to be on a surveillance program coordinated with cardiologist to follow aortic insufficiency and aortic enlargement. Need to avoid hypertension and be careful about activities that cause rapid rise in blood pressure like heavy weightlifting or strenuous abrupt effort. Maintain good weight and activity ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Hello, what does eccentric mean in mild eccentric aortic regurgitation? Is it any different from mild regurgitation.
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 moreSee 1 more doctor answer
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
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