Condition Info - BotMed Application

ConditionName

Aortic Regurgitation

ConditionDescription

Symptoms

Shortness of breath (SOB) with exercise;
Fatigue and weakness;
Lightheadedness or fainting;
Chest pain;
Heartbeat;
Palpitations;
Swollen ankles and feet;

PhysicalFindings

Diastolic-decrescendo murmur;
Heart murmur;
Irregular pulse (arrhythmia);
S3;
Water hammer pulse (wide, bounding);
Quincke pulse (pulsation in nail bed);
Hill sign (BP in legs as much as 40 mmHg above arm BP);
Head bobbing  -> de Musset sign;
handgrip ↑ afterload -> AR;
Valsalva and standing decreases vinous return -> softer murmur;
Handgrip increases afterload -> worse;

ClinicalTests

Echocardiogram;
ECG and chest a-ray: LVH;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

HTP, MI, endocarditis;
Marfan syndrome;
Cystic medial necrosis;
Inflammation: AS, Reiter syndrome, Syphilis;
Any HT dilation --> MR;

TreatmentOptions

PharmOptions

Vasodilators;

WebLink

https://www.merckmanuals.com/en-ca/professional/cardiovascular-disorders/valvular-disorders/aortic-regurgitation