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Aortic regurgitation 

Aortic regurgitation
Chapter:
Aortic regurgitation
Author(s):

Jim Newton

, Nikant Sabharwal

, Saul Myerson

, Steven Westaby

, and Bernard Prendergast

DOI:
10.1093/med/9780199559237.003.0005
Page of

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date: 15 April 2021

Introduction 128

Epidemiology 128

Aetiology 128

Symptoms 132

Clinical signs 132

Initial investigations 136

Differential diagnosis 136

Echocardiographic assessment 138

Grading severity 144

Invasive assessment 146

Medical therapy 146

Surveillance 147

Indications for surgery 147

Management algorithm for aortic regurgitation 148

AR may result from pathology affecting the valve leaflets or as a secondary consequence of disease of the aortic root. Chronic regurgitation is often well tolerated but acute regurgitation usually requires early intervention. As in other valvular heart disease, prevalence increases with age....

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