A comprehensive review of acute severe aortic regurgitation highlighting its clinical manifestations, echocardiographic features, and the critical need for prompt surgical intervention.
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Supports prompt surgical referral in acute severe AR; leaves open prospective validation of diagnostic criteria.
Acute severe aortic regurgitation is a relatively unfamiliar, though life-threatening, disease. We review its diverse causes, anatomic faults, and hemodynamic sequelae and set the stage for an understanding of the clinical manifestations in light of their physiologic mechanisms. Clinical information includes the natural history, physical signs (physical appearance, systemic arterial pulse, jugular venous pulse, precordial palpation, auscultation), electrocardiogram, and chest roentgenogram. Echocardiographic features are especially emphasized and the need for prompt diagnosis and surgical intervention underscored, even in the setting of active infective endocarditis.
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Joel Morganroth (1977) studied this question.
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