(Aortic Regurgitation; Aortic Incompetence)
- Acute aortic insufficiency —symptoms develop rapidly, and in severe cases, immediate surgery may be needed
- Chronic aortic insufficiency —symptoms develop over the course of many months or years
|Aortic Valve Insufficiency|
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- A birth defect of the aortic valve
- Severe high blood pressure
- Bacterial infection of the aortic valve such as rheumatic fever
- Injury to the aortic valve
- Certain inflammatory diseases such as rheumatoid arthritis , lupus, temporal arteritis , and Reiter’s syndrome
- Certain genetic conditions such as brittle bone disease , Marfan syndrome , Ehlers-Danlos syndrome , and cystic fibrosis
- Heart abnormalities such as septal defect
- Family history of aortic insufficiency
- High blood pressure
- Use of drugs such as weight loss and appetite suppressant medications
- Shortness of breath with activity
- Exercise intolerance
- Chest pain
- Heart palpitations
- Irregular heartbeat
- Difficulty breathing when lying flat
- Diuretics—to treat high blood pressure and rid the body of excess fluids
- Calcium channel blockers—to reduce leaking and, in some cases, delay the need for surgery
- High blood pressure medications
- Antibiotics used before dental and surgical procedures to prevent infection
American Heart Association http://www.heart.org
National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Heart and Stroke Foundation of Canada http://www.heartandstroke.ca
Aortic regurgitation. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 21, 2014. Accessed August 20, 2014.
Aortic valve stenosis (AS) and aortic insufficiency (AI). American Heart Association website. Available at: http://www.heart.org/idc/groups/heart-public/@wcm/@hcm/documents/downloadable/ucm%5F307649.pdf. Published 2009. Accessed August 20, 2014.
Coarctation of aorta. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 5, 2014. Accessed August 20, 2014.
Congenital heart defects. Kids Health—Nemours Foundation website. Available at: http://www.kidshealth.org/parent/medical/heart/congenital%5Fheart%5Fdefects.html. Updated January 2012. Accessed August 20, 2014.
Scognamiglio R, Rahimtoola SH, Fasoli G, Nistri S, Dalla Volta S. Nifedipine in asymptomatic patients with severe aortic regurgitation and normal left ventricular function. N Engl J Med. 1994;331:689.
What are congenital heart defects? National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/dci/Diseases/chd/chd%5Fwhat.html. Updated July 1, 2011. Accessed August 20, 2014.
- Reviewer: Michael J. Fucci, DO
- Review Date: 08/2014 -
- Update Date: 08/20/2014 -