Aortic valve regurgitation

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Symptoms

By Mayo Clinic staff

Most often aortic valve regurgitation develops gradually, and your heart compensates for the problem. You may have no signs or symptoms for many years, and you may even be unaware that you have this condition.

However, as aortic valve regurgitation gets worse, signs and symptoms usually appear and may include:

  • Fatigue and weakness, especially when you increase your activity level
  • Shortness of breath with exertion or when you lie flat
  • Chest pain, discomfort or tightness, often increasing during exercise
  • Fainting
  • Rapid or irregular pulse
  • Heart palpitations — sensations of a rapid, fluttering heartbeat
  • Swollen ankles and feet

When to see a doctor
Take the signs and symptoms of aortic valve regurgitation seriously and see a doctor right away if they develop. Sometimes the first indications of aortic valve regurgitation are those of its major complication, congestive heart failure. Signs and symptoms of congestive heart failure — a serious condition — include fatigue, shortness of breath, and swollen ankles and feet.

References
  1. Aortic regurgitation. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=4448. Accessed July 9, 2009.
  2. Carabello BA. Valvular heart disease. In: Goldman L, et al., eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/148441160-6/860446560/1492/318.html#4-u1.0-B978-1-4160-2805-5..50080-X_3105. Accessed July 9, 2009.
  3. Ardehali R, et al. Valvular heart disease. In: Nilsson KR, et al. The Osler Medical Handbook. Philadelphia, Pa.: Saunders Elsevier; 2006. http://www.mdconsult.com/das/book/body/148441160-4/860446560/1387/28.html#4-u1.0-B0-323-03748-8..50017-8_181. Accessed July 9, 2009.
  4. Gaasch WH. Pathophysiology and clinical features of chronic aortic regurgitation in adults. http://www.uptodate.com/home/index.html. Accessed July 9, 2009.
  5. Gaasch WH. Course and management of chronic aortic regurgitation in adults. http://www.uptodate.com/home/index.html. Accessed July 9, 2009.
  6. Living with arrhythmia. American Heart Association. http://www.nhlbi.nih.gov/health/dci/Diseases/arr/arr_livingwith.html. Accessed July 9, 2009.

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Sept. 24, 2009

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