SymptomsBy 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 (angina), discomfort or tightness, often increasing during exercise
- Irregular pulse (arrhythmia)
- Heart murmur
- Heart palpitations — sensations of a rapid, fluttering heartbeat
- Swollen ankles and feet (edema)
When to see a doctor
Take the signs and symptoms of aortic valve regurgitation seriously and call or 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.
- Aortic regurgitation. American Heart Association. http://www.americanheart.org/print_presenter.jhtml?identifier=4448. Accessed June 20, 2011.
- Rakel RE, et al. Valvular heart disease. In: Rakel RE. Textbook of Family Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier. 2011. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4377-1160-8..10027-2--s0310&isbn=978-1-4377-1160-8&uniqId=258746827-3. Accessed June 12, 2011.
- O'Gara P, et al. Valvular heart disease. In: Fauci AS, et al. Harrison's Online. 17th ed. New York, N.Y.: The McGraw-Hill Companies. 2008. http://www.accessmedicine.com/content.aspx?aID=2902425&searchStr=aortic+valve+insufficiency. Accessed June 18, 2011.
- Bashore TM, et al. Heart disease. In: McPhee SJ, et al. Current Medical Diagnosis & Treatment. 50th ed. New York, N.Y.: The McGraw-Hill Companies. 2011. http://www.accessmedicine.com/content.aspx?aID=3896&searchStr=aortic+valve+insufficiency. Accessed June 18, 2011.
- Congestive heart failure. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=4585. Accessed June 20, 2011.
- How the healthy heart works. American Heart Association. http://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/AboutCongenitalHeartDefects/How-the-Healthy-Heart-Works_UCM_307016_Article.jsp. Accessed June 12, 2011.
- Gaasch WH. Pathophysiology and clinical features of chronic aortic regurgitation in adults. http://www.uptodate.com/home/index.html. Accessed June 20, 2011.
- Gaasch WH. Course and management of chronic aortic regurgitation in adults. http://www.uptodate.com/home/index.html. Accessed June 20, 2011.
- Your guide to a healthy heart. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/public/heart/other/your_guide/healthyheart.pdf. Accessed June 21, 2011.
- Otto CM. Acute aortic regurgitation in adults. http://www.uptodate.com/home/index.html. Accessed June 20, 2011.
- Khawaja MZ, et al. Transcatheter aortic valve implantation for stenosed and regurgitant aortic valve bioprostheses. Journal of the American College of Cardiology. 2010;55:97.
- Grogan M (expert opinion). Mayo Clinic, Rochester, Minn. July 6, 2011.