Aortic Regurgitation

Question 1

Is Aortic Regurgitation volume or pressure work?

Answer 1

Initially volume overload but eventually there is an increase in pressure as well.

Question 2

Symptoms

Answer 2

1. Dyspnea on exertion
2. Sensation of Forceful Heartbeat
3. Decreased exercise tolerance
4. Fatigue

Question 3

What are the complications of Acute Aortic Regurgitation?

Answer 3

Elevated LV diastolic pressure, left atrial and pulmonary pressures

Question 4

What are the complications of Chronic Aortic Regurgitation?

Answer 4

1. LV Eccentric hypertrophy

2. Increased pulse pressure/Lower diastolic pressure

Question 5

Describe the murmur in Aortic regurgitation

Answer 5

Decreschendo murmur at Lower left sternal border with a systolic ejection murmur

Question 6

DeMussett’s sign

Answer 6

Head bobbing with each heart beat

Question 7

What is a waterhammer pulse?

Answer 7

Abrupt distenstion and collapse (Corrigan’s pulse)

Question 8

Muller’s sign

Answer 8

Systolic pulsation of the uvula

Question 9

Traube’s sign

Answer 9

Systolic and diastolic sounds auscultated over the femoral arteries

Question 10

Duroziez’s sign

Answer 10

Systolic murmur auscultated over the femoral artery when it is compressed proximally and a diastolic murmur when it is compressed distally

Question 11

Quincke’s sign

Answer 11

Capillary pulsations of the fingertips or by pressing a slide over the patient’s lip

Question 12

HIll’s sign

Answer 12

Popliteal cuff systolic pressure exceeding brachial cuff systolic pressure by more than 60 mmHg.

Question 13

Which pts need surgery for Aortic Regurgitation?

Answer 13

1. Acute AI pts

2. Chronic AI pts with symptoms