Aortic Regurgitation / Aortic insufficiency ( Acute and chronic ) - Usmle step 1
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- čas přidán 3. 08. 2017
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Aortic regurgitation (Aortic insufficiency)
Aortic regurgitation (AR) is a valvular heart disease characterized by incomplete closure of the aortic valve that leads to reflux of blood from the aorta into the left ventricle (LV) during diastole. Aortic regurgitation may be acute (occurring primarily after bacterial endocarditis or aortic dissection) or chronic (due to congenital bicuspid valve or rheumatic fever) and may be caused by valvular disease or an abnormality of the aorta. In most cases, acute AR leads to rapid deterioration of LV function with subsequent pulmonary edema and cardiac decompensation. Frequently, chronic AR may remain compensated for a long period of time, becoming symptomatic only when left heart failure develops. Auscultation reveals an S3 and a high-pitched, decrescendo early diastolic murmur. Another characteristic diagnostic finding is widened pulse pressure. Echocardiography is the most important diagnostic tool, both for confirming the diagnosis and determining the severity of disease. In asymptomatic patients, conservative treatment consists of symptom management and physical activity as tolerated. However, symptomatic patients or those with severely reduced LV function should undergo surgical aortic valve replacement.
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Besttt teacher I have ever been witnessed in my life uptill now Dr your amazing lecturer please upload each and every lecture of yours on CZcams my concepts are all cleared thank you....
The only reason I prefer watching videos over reading such topics from books is...professors like you make it simply easy to understand...Thank you so much!
Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 8/8/2018 😊
very nice sir..you explained so simply the most completed portion of cvs
Sir from my heart I'm saying lots of english lecture made me confused but you made me clear in every concept...Thanks a lot..
It's my pleasure
Awesome teaching Sir...God bless you..!!☺
Thanks sir .... U made concept easy to under stand ..
Thanku sir. Your videos are very helpful 😊
Today i gain really very intrested ur ways of teaching sir thanku
Great class, Sir.
Thank you so much sir 😊 very very explained
Most welcome
VERY WELL PRESENTED, GOD BLESS YOU & PLEASE KEEP IT UP
🤝🤝🤝
Efficient&clear explanation.Long live.
Tysm
Love it
Superb
Thanks!! You are best teacher and you saved my lots of time by reading textbooks, God Bless you sir!!
You are most welcome
Thank you so much sir , this Video made me to understand the concept clearly .
Glad to hear that
NIZE VIDEO
THANK U SIR
Thnx sir..
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Thank u
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Thankyou so much. Very well explained
Glad it was helpful!
Be blessed 🙏🏽
Tysm
Nicely Explained ❤❤, MORE VIDEO UPLOAD SIR 😊😊
sure , Thanks for watching
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Sir I have this problem .chronic sever AR .please give me solution how to treatment this deasese ols sir
vvvvvvvv goood sir thanks.........
Suprb
Thank you so much that was very helpful
Ur most welcome
I have this and Reynauds disease, I was wondering if there is a connection?
Is there..an druges treatments...pleas
Big Fan from Pakistan love you Sir
Excellent
Thank you! Cheers!
A great video sir
I have got a question
Could you please explain why is there a narrow pulse pressure in case of acute aoritc regurgitation?
May be because there's an increase in diastolic pressure becuase there's no hypertrophy in left ventricle in acute aortic regurgitation
@@jhanifadibagulun7409 yawn it’s the cause
Thanks a lot sir
Ur most welcome
Good lecture sir
Congrats
Tysm
I want more videos sir
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So nice of you
Any medicine for this
Great sir💙🤗
🤝🤝🤝
Thanku so...Much sir u made this topic. V easy to understand
Ur most welcome
Pls do other videos on cvs topics
Yes
In aortic regurgitation the CXR shows:
a.Cardiomegaly
b.Left ventricular hypertrophy
c.Dilatation of ascending aorta
Both b and c
I understand sir my mom have same situation right now but doctor said no need operation now.. but still my mom have breathing problem I don't know what I could do.. please help me sir...
+Ak San no problm dnt worry telll her to take proprt rest
Dr.G.Bhanu Prakash Sir then no need operation now... LV LA both are Dilated now then how sir
Sir I sent scan report by Facebook but not yet you seen if you have free time just see and tell me sir... I am also south India TamilNadu sir
Sir not downloading theirs video
Whose videos ?
Membership in India ruppee