This document contains all the relevant student knowledge pertaining to aortic regurgitation. This includes:
Aetiology
Pathophysiology
Symptoms
Diagnosis and ECG findings
Management
Pathophysiology Reflux of blood from the aorta through the aortic valve into
the L ventricle during diastole If net cardiacoutput is to bemaintained the total
volume of blood pumped into the aorta must 4 and so must L ventricular size
Dueto aortic runoff during diastole diastolicB P d d coronary perfusion
Large L ventricle is mechanicallyinsufficient Or demand t supply
Symptoms
Significantsymptoms occur late with L v failure
Palpitations due to t L V size t vigorouspulsation
Angina Pectoris
Dyspnea
signs https://youtu.be/adcVq_4LkEY
Pulse Sinus large volume collapsing pulse
https://youtu.be/V7u3vaKEDCI
BP Wide pulse pressure
Apex Displaced forcefu
Murmur Early diastolic soft murmur
Quincke's
sign Capillarypulsation in the nail beds
corrigan's sign rapidelevatinglacerating carotidpulsewitheachheartbeap
De Musset's sign Headnodding w each heartbeat
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