Aortic Regurgitation


  • Bicuspid valve
  • Marfans/connective tissue d/o
  • Rheumatic heart dz
  • Aortic root dilatation from htn
  • Acute regurg from endocarditis or aortic dissection


  • Chronic regurg leads to slow development sx
  • Acute regurg→ acute sx

Physical Exam Findings

  • Decrescendo diastolic murmur, loudest along L sternal border
  • Accentuated by sitting up and leaning forward
  • Pulse can be boding w/large stroke volumes
  • Wide pulse pressure w/chronic dz
  • Other findings CHF w/advanced disease