JOEL MORGANROTH, M.D.; JOSEPH K. PERLOFF, M.D.; STEVEN M. ZELDIS, M.D.; W. BRUCE DUNKMAN, M.D.
▸Requests for reprints should be addressed to Joel Morganroth, M.D.; Cardiovascular Section, Hospital of the University of Pennsylvania, 3400 Spruce St.; Philadelphia, PA 19104.
MORGANROTH J., PERLOFF J., ZELDIS S., DUNKMAN W.; Acute Severe Aortic Regurgitation: Pathophysiology, Clinical Recognition, and Management. Ann Intern Med. 1977;87:223-232. doi: 10.7326/0003-4819-87-2-223
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Published: Ann Intern Med. 1977;87(2):223-232.
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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Cardiology, Valvular Heart Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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