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.

Komentáře • 71

  • @doctorbhanuprakash
    @doctorbhanuprakash  Před 4 lety +7

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  • @aishaanis225
    @aishaanis225 Před 5 lety +7

    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....

  • @vrundpandya4853
    @vrundpandya4853 Před 5 lety +2

    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!

  • @HafizahHoshni
    @HafizahHoshni Před 6 lety +4

    Simply excellent. Very grateful for clear, concise and well presented video. Thank you for the great channel. 8/8/2018 😊

  • @kdh1983
    @kdh1983 Před 6 lety +1

    very nice sir..you explained so simply the most completed portion of cvs

  • @mrabin8098
    @mrabin8098 Před 2 lety +2

    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..

  • @dr.ruthsheeba3087
    @dr.ruthsheeba3087 Před 5 lety +2

    Awesome teaching Sir...God bless you..!!☺

  • @diyaambulkar
    @diyaambulkar Před 6 lety +1

    Thanks sir .... U made concept easy to under stand ..

  • @swatiprasad8150
    @swatiprasad8150 Před 6 lety +1

    Thanku sir. Your videos are very helpful 😊

  • @Docter125
    @Docter125 Před 2 lety +1

    Today i gain really very intrested ur ways of teaching sir thanku

  • @jaz_shl
    @jaz_shl Před 4 lety +1

    Great class, Sir.

  • @gtm76ui88
    @gtm76ui88 Před rokem +2

    Thank you so much sir 😊 very very explained

  • @bimitkumarjain1403
    @bimitkumarjain1403 Před 4 lety +1

    VERY WELL PRESENTED, GOD BLESS YOU & PLEASE KEEP IT UP

  • @shenbagamchidambaram3744
    @shenbagamchidambaram3744 Před 3 lety +1

    Efficient&clear explanation.Long live.

  • @mohdafran6196
    @mohdafran6196 Před 5 lety +1

    Love it

  • @Parveenkumarmobile3934
    @Parveenkumarmobile3934 Před 5 lety +1

    Superb

  • @semesterone1119
    @semesterone1119 Před 2 lety +1

    Thanks!! You are best teacher and you saved my lots of time by reading textbooks, God Bless you sir!!

  • @aratighadai3803
    @aratighadai3803 Před 3 lety +1

    Thank you so much sir , this Video made me to understand the concept clearly .

  • @sinansaidmt
    @sinansaidmt Před 4 lety +1

    NIZE VIDEO
    THANK U SIR

  • @umiiibutt7998
    @umiiibutt7998 Před 5 lety +1

    Thnx sir..

  • @dr.abhaykumar8233
    @dr.abhaykumar8233 Před 7 lety +1

    great lecture...sir...I m Ur big fan...!!

  • @deepthibadam4177
    @deepthibadam4177 Před rokem +1

    Awesome

  • @bhuhaftmadar7084
    @bhuhaftmadar7084 Před rokem +1

    Thankyou so much. Very well explained

  • @rabiasamma5780
    @rabiasamma5780 Před 3 lety +1

    Be blessed 🙏🏽

  • @indranilbari4477
    @indranilbari4477 Před 4 lety +1

    Nicely Explained ❤❤, MORE VIDEO UPLOAD SIR 😊😊

  • @doctorsivavignesh6044
    @doctorsivavignesh6044 Před 4 lety +1

    💥💥great sir

  • @battiniravikumar4975
    @battiniravikumar4975 Před 5 lety +1

    Sir I have this problem .chronic sever AR .please give me solution how to treatment this deasese ols sir

  • @sajawalkhan4421
    @sajawalkhan4421 Před 5 lety +1

    vvvvvvvv goood sir thanks.........

  • @Docter125
    @Docter125 Před 2 lety +1

    Suprb

  • @daniaali1374
    @daniaali1374 Před 2 lety +1

    Thank you so much that was very helpful

  • @loredelore7286
    @loredelore7286 Před 2 lety

    I have this and Reynauds disease, I was wondering if there is a connection?

  • @user-wg3yb8ud6l
    @user-wg3yb8ud6l Před 3 lety

    Is there..an druges treatments...pleas

  • @aboutafghanistan6479
    @aboutafghanistan6479 Před rokem

    Big Fan from Pakistan love you Sir

  • @diptipattnaik207
    @diptipattnaik207 Před 2 lety +1

    Excellent

  • @iqrajadoon6552
    @iqrajadoon6552 Před 5 lety

    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?

    • @jhanifadibagulun7409
      @jhanifadibagulun7409 Před 3 lety +1

      May be because there's an increase in diastolic pressure becuase there's no hypertrophy in left ventricle in acute aortic regurgitation

    • @arijitmylove3092
      @arijitmylove3092 Před rokem

      @@jhanifadibagulun7409 yawn it’s the cause

  • @debanjan25
    @debanjan25 Před 3 lety +1

    Thanks a lot sir

  • @murugesandr.9868
    @murugesandr.9868 Před 2 lety +1

    Good lecture sir
    Congrats

  • @amreshbc3164
    @amreshbc3164 Před 5 lety

    I want more videos sir

  • @Doctormorphin
    @Doctormorphin Před 3 lety +1

    Always great sir g🥰

  • @animeseriesfullepisode7165

    Any medicine for this

  • @mernaezz9488
    @mernaezz9488 Před 4 lety +1

    Great sir💙🤗

  • @swetamishra7382
    @swetamishra7382 Před 4 lety +1

    Thanku so...Much sir u made this topic. V easy to understand

  • @jahnavisaisuchita5838
    @jahnavisaisuchita5838 Před 4 lety +1

    Pls do other videos on cvs topics

  • @Hassanwahab.
    @Hassanwahab. Před 2 měsíci

    In aortic regurgitation the CXR shows:
    a.Cardiomegaly
    b.Left ventricular hypertrophy
    c.Dilatation of ascending aorta
    Both b and c

  • @AkSantech
    @AkSantech Před 6 lety +2

    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...

    • @doctorbhanuprakash
      @doctorbhanuprakash  Před 6 lety

      +Ak San no problm dnt worry telll her to take proprt rest

    • @AkSantech
      @AkSantech Před 6 lety

      Dr.G.Bhanu Prakash Sir then no need operation now... LV LA both are Dilated now then how sir

    • @AkSantech
      @AkSantech Před 6 lety

      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

  • @aboutafghanistan6479
    @aboutafghanistan6479 Před rokem

    Sir not downloading theirs video

  • @aboutafghanistan6479
    @aboutafghanistan6479 Před rokem

    Membership in India ruppee