Aortic Regurgitation (Insufficiency) Explained Clearly
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- Опубликовано: 4 дек 2013
- Understand aortic regurgitation (insufficiency) with this clear explanation by Dr. Roger Seheult of www.medcram.com/?Y...
Includes discussion on the causes, pathophysiology, clinical features and murmur, diagnosis, treatment, and indications for valve replacement. This video on aortic insufficiency (regurgitation) is part of a series on heart murmurs and valves called "Heart Valves Explained Clearly."
Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
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Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations.
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Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.
used this one to present infront of my classmates about what aortic regurgitation is all about. thanks so much!
I had aortic regurgitation due to a bicuspid aortic valve. I had every one of those symptoms you mentioned. I always wondered why my BP was so "out of whack". it often ran around 130/50. Had my valve replaced last year and feeling great now!
I've also got the same situation, but I'm still asymptomatic, so no replacement...yet. What type of valve replacement did you receive? And how's it going? Thanks for the info!
hey bro, i also have a bicuspid valve and am awaiting a valve replacement surgery, and i currently feel an abundance of sympotoms
Will i feel better afterwards?
@@alexwidrich4101 Yes you absolutely will!
Thanks for this excellent video. Finally got an explanation for my sometimes bobbing head! I'm up for surgery in two months and really this is the first time I really understood how this works and what's going on.
awesome! thanks so much for making all of these videos. i'm starting intern year of residency after several years off and they are really helping me get my fund of knowledge back
you are amazing! thank u so much for the effort you're puting in these videos
Very nice, simple, meaningful, and very clear description of the disease. Thank You.
FANTASTIC!!!! These videos save my sanity, thank you!!
Thank you for the video.
It's basically a simplified and easy to understand the concept for quick revision :)
Love these videos! Would like to see one on MR, TR, and Heart Failure :)
You deserve more views than this. This is great material! Thank you for helping me through med school =)
thank you for providing all the videos! They are simply perfect for my revision. Everything I learnt started to make sense. Would be grateful if you could some videos on myocardial infarction and ECG reading
The problem with medicine is not that you dont understand stuff but you dont actually remember what you read.But after watching this video I am sure gonna remember it for the rest of my life.Please put some Neurology videos as well.You are a great help.Keep up the good work.
Arty.doc thank you for the feedback and suggestion on neuro topics.
You are amazing, i’m prepating for my mrcp exam and waching your videos, thank you so much
excellent review of the pathophys of this disorder.
I am not in the medical field, I am a retired home remodeling carpenter, but this morning I woke up hearing the word in my Spirit, "Ken-Valve". I did some research and found that a Ken-valve is an artificial heart valve used to treat Aortic Regurgitation. Learn something new every day.
Having a cardiology examination next week... This gave me confidence! Well explained congrats
+athena ky Good to hear and best wishes on the exam
Everything I urged to know, in one concise video. Beautiful.
Jayzer thanks for the feedback
Outstanding, Thanks a bunch !
Thank you so much it was very helpful to understand heart with your simplified animated videos .. Im a 5th year medical Student / Basra University / IRAQ
Thank You for uploading these lectures. They are a great way to revise what is being taught in formal lectures. :)
Keep up with the great work
Jade Riley Glad these videos help with your education
very well explained.
This was amazing thank you so much
wow great presentation , thanks so much
Bob Byrne I feel much better about the procedure I'm about to have done just from the knowledge I gained from this source
very well explained the pathophysiology ...
This was a great explanation thank you!
Fantastic keep them cool stuff coming
Thank you for your wonderful classes. Could you please take a class on Mitral Insufficiency??
Thank you so much for your lectures. You make everything SO much easier - and fun - to learn! :-)
Excellent lecture. Thank you
An excellent presentation. Is there some reason for recommending loop diuretics versus thiazide diuretics?
I have both AR and AS due to a bicuspid valve. I am going to surgery soon. I hope it makes me feel better!
Thank you so much. I am an NP student and this really clears things up and brings it together for me. Great video!
Yaischa Dukes Good to hear- thank you for the feedback
Perfect illustration :)
Great lecture!!!thanks.
Thank you very much🌸
So useful 🌸
Is there is a video for mitral valve regurgitation?
very beautifully clear cocept of autin flnt murmor
great video!!
thanks a lot for your clearly information. I just wan to explain one thing. you mentioned that in {corrigans sign} heard pistol shut but I think in Traubers sign we hear pistul shut. thanks again
Thank you for the great video...I have a question...Can we distinguish any third or maybe fourth heart sound in AR?
It's an amazing explanation ⭐⭐⭐⭐⭐
simple and perfect ......thnx
Thank you so much for this animated video. It was very helpful for me to understand my husband's heart problem. Well explained.
+Ann J Glad the video was helpful- thanks for the comment
excellent!
Happy new year! Great video again! I hope You could soon video about pneumothorax,EKG or alfa,beta receptors make.
Thanks for your videos! You mentioned doing a right side cath, shouldn't it be left side?
Thank you very much sir
Your teaching very nice
Precise and understandable! ⭐️⭐️⭐️⭐️⭐️😍
+Sωεετεмρατну Sнεεяαη Thank you for the comment
MEDCRAMvideos you're welcome Doctor Seheuk! Hope I spelled that right.. 😁😁😁
Wow, your illustrations and explanations are helping me for my upcoming angiogram and upcoming aortic heart valve replacement/repair for my aortic regurgitation in April.
Mahalo for your presentation! :)
How did your procedure go? I'm up for the same thing this after the summer and I'm trying to learn about it.
Aloha! Hmmmm, there's not enough space and time to explain everything here.
How to prepare:
- If you're a smoker or drink alcohol, stop soon.
- Be in good physical condition.
How the procedure goes:
- You may have to trim all of your body hair. Yeah, not fun, but it cuts down on bacteria. DO NOT shave body hair. Instead, trim very short...everywhere. Sorry, odd to hear...
- You're under anesthesia, so you won't feel a thing.
What's post-op like:
- Painful. Sorry! :( What a nurse told me, "if you're in pain, you're not healing." So, take your pain meds!!!
- Follow the medical advice of your doctors/nurses. They know their craft, so don't be the hero and think you know better.
- Slow process. Eat properly. Use your incentive spirometer often.
I hope that helps! Good luck @Ibrahim! :)
It's just amazing
Thank you!
Amazing. Thank U sir.
terbaik...mudah untuk difahami...
the definition of austin flint has recently changed its now believed that its caused by the regurgitant jet of blood abutting against the left ventricular endocardium...
I have a mild case of aortic regurgitation due to endocarditis when I was 6. I’m 34 now and my cardiologist always calls it a “beauty mistake”, because there is very little regurgitation, my blood pressure is 110/77, usually, but I also exercise. Thank you for this comprehensive video - I was wondering if the term “insufficiency” means that we’re dealing with a progressing disease?
thank you sir..
awesome!
Thanks so much
Thank you!!
Perfect ..
Thank you!💘 this really helped
Thank you for the feedback! Glad it helped!
Thanks alot..
Minor point but I think he meant "Left Heart Cath" at 12:33 because the catheter is going up the artery into the aorta, not right.
This was really helpful! However, can you elaborate more on the decreased diastolic blood pressure during diastole(4:26)? I am having trouble connecting the two. Thank you!
Me too
Sir..its just awesome. ... please make videos for all the topics of medicine. ..it would be of great help. ..thank u so much
Vinuta Chikkamath thanks for the feedback- working on getting more lectures up soon.
enjoyed !!
Great video; Isn't pulse pressure = Systolic-diastolic? Is loop diuretics recommended for AR?
the pulse pressure is the difference between the systolic pressure and the diastolic pressure
precise
thank youuuu Sir 😀
simplified and helpful !!!!!!
Great video!!! Thx =)
Nice explanation!!!!!!@
Very well explained. It feels so simple and logically explained.
Could you please try and cover Cyanotic & Acyanotic congenital heart defects. It would be much appreciated
this is great. Thanks
That was very helpfull, thankx
Dina Ibraheem Farhood thank you for the comment
Thid is fantastic.
I have mild to moderate regurgitation. Do I need to see a cardiologist? My dad had heart disease
Clean...
Thanks :-)
High pitch or low pitch? Please
Thanks so much for these videos! I just started cardiology research, and I have a few questions.My father had a congenital bicuspid valve, causing aortic stenosis and aortic regurgitation. However, based on these videos it seems that these two conditions have opposite symptoms sometimes. For example, PP for regurgitation patients increases but it decreases for stenosis patients. How does this present in the clinic? Is aortic regurgitation an inability to close and aortic stenosis an inability to open? Are these two conditions only found together in bicuspid patients?Finally, at 12:50, you said that a cardiologist performs a right-heart cath to analyze the regurgitation volume. Did you meant a left-heart cath? That's what's needed to access the aorta, isn't it?Thanks so much!
+Zev Allison Your are right - it's a left heart cath - a ventriculogram. You are also right that the symptoms will be a mix if a patient has both stenosis and regurgitation.
Great Video!!!!... quick question, in the begining you said a decrease in Diastolic BP will also cause a decrease in coronary artery profusion pressure leading to angina. And later you said Beta blockers should not be used coz they slow down the heart. The question is, isnt that what we want so we actually increase chances of coronary profusion at diastole and reverse chances of angina?
see the explanation at 7:00
By adding beta blockers it will cause bradycardia, increase diastolic filling time, & will increase more regurgitation volume and LVEdp..
Fascinating. I've had AI for a number of years that has recently been determined to be severe. One surgeon used the phrase "water hammer pulse." Is that the same as the Austin Fink pulse?
Also, my surgeon is suggesting that he will first try to repair my aortic valve before resulting to a mechanical valve. I'm only 44 so the idea of blood thinners indefinitely is less than ideal. Could you direct me to a video or resource that might help me better understand what aortic valve reconstruction might look like?
+ChurchWardenofEddy Austin Flint is when the back jet of the aortic regurg actually closes (or nearly closes) the anterior leaflet of the mitral valve causeing a sort of mitral stenosis. A water hammer pulse is different - it causes your systolic blood pressure to be high and your diastolic blood pressure to be low - so your head bobs with each beat. - sort of.
water hammer pulse is collapsing pulse
Can someone explain to me why there is a decrease of diastolic blood pressure? Thanks.
Paul O'Brien2 seconds ago
i am having trouble with it too but i came to this conclusion.....i guess you are mixing up pressure in the heart with what diastolic pressure means.... diastolic pressure is a measure of blood pressure in the vasculature (not pressure in the heart) when the heart is relaxing (diastole), if blood is going back into the heart during diastole then there would be less volume in the vasculature so a decreased pressure....its easy to confuse when you are focusing just on the heart but remember diastolic pressure still refers to the pressure in the vasculature , the backflow would increase lvedv which would then contribute to extra blood in systemic circulation during systole as shown by the increased systolic, high systolic minus low diastolic = widened pulse pressure, is this right ?
My heart rate is low while the systolic and distolic are elevated. I exercise with weights as well as run for cardio.
I have heard it is better to keep your MV rather than replace it. What r your thoughts on doing this if the MV is still savable??
I know the age, condition, etc play a role in the decision, but I would rather keep my parts if possible.
I think I had a heart murmur when I was under 50ty. then I was told I didn't have it. could it have gone away & come back??
Do U know of any natural way to get rid of the stiffness of the MV?
Mine is getting stiff & thicker as is my LV.
I have it mind now, but I am quite old. I worry about having surgery on it when I am even older.
What can I do to keep it from becoming worse than it already is?
Mild isn't supposed to be surgery time yet, but I fear to wait till it is bad. I may be too old & too weak to survive very long after it is fixed...
A friend of mine had the pig valve & died within a year after having it...
Yes, I know everyone is different, but I fear I could have the same bad luck as she had.
Do U know any top heart Drs in LA, Ca? taking Medicare???
I did know about Dr. David Cannom.
he is world famous.
I saw him years ago about some other issues I was having.
He is 78 yrs old now...
Do U know any heart docs who specialize in the newest successful MV surgeries?
I wish to keep my valve if possible.
Thanks for making it very easy to follow...
I also like some of the names.
1 would make a great dog's name too.
The quinkes or something like that... I thought it would make a great dogs name. here Quinkes
This is what I have. Second open heart is coming up in june... yay
best wishes!
what I think ....Angina cause is lower CPP i.e Aortic DBP - LVEDP (low DBP and high LVEDP) also, LVHypertrophy - his requirement
Hi I have a Aortic stenosis and it was repaired in 2008 and now the doctor says that I have a moderate to severe aortic regurgation. I was wondering if I still suffer from aortic stenosis as the valve has not been replaced. I am 14 and the doctor says surgery is likely I was just wondering when and if I still have aortic stenosis and the doctor says I have borderline left hypertrophy and fractional shortening of 49 percent and peak flow velocity in ascending aorta aorta was over 3m/s also there was important aortic regurgitation. There are two regurgitant jets the most important of these at the anterior aortic valve commissure there was pandiastolic reverse flow in aortic arch and abdominal aorta.i experience chest pain from time to time and sometimes fell my heart beating very fast.i also get lots of pins and needles and cramps. Please shed some light on if I still have aortic stenosis or if the repair in 2008 got rid of it and how and when my regurgitation will be treated
And he says I have moderate border lining severe aortic regurgitation please shed some light it would be much appreciated
How does aortic regurgitation occur in aortic dissection?? Use of iv beta blocker is the first line of treatment in that case!! This is controversial for AR mgt ! Pls explain
Thanks a lot for the vedio
Can you add a QUESTİON ask in USML quiz abouth A.I
i thought nitrates reduce preload while hydralazine reduces afterload...
Can anyone explain me about diastolic blood pressure ?? I'm very confused
Diastole means the period between 2 heart beats where heart is not ejecting the blood but here during regurgitation the blood flows back into ventricle which will lead to increase in pressure,right ??
So why does Diastolic blood pressure decrease during regurgitation
Someone please explain me
I just found out I have mild aortic valve regurgitation!! I was told that it wasn’t of any concern right now. I feel fine. Anyone else have this ??? I’m 43
Marfan's should really be on both sides of the 50 mark. If anything it should be on the pre-50 side primarily. My Step dad with Marfan's had his valve replaced at age 33 and I'm having mine done just shy of my 33rd birthday. Just sayin'
My thoughts exactly. This suggests that this doctor doesnt fully understand that heart complications from Marfan Syndrome can happen at any time of age. I was diagnosed with Marfan Syndrome at 33 years of age. I am now 37. I just had my 3rd echocardiogram & even though the office staff from my cardiologist's office called to tell me that quote, "my results came back normal, no sign of Marfan Syndrome" (which just proves how ignorant this cardiologist's office is with respect to how Marfan Syndrome works)....when I got my test results in the mail it says that I have trace amounts of tricuspid regurgitation. So both my cardiologist & the doctor in this video are wrong. TR can happen to a person with Marfan Syndrome at anytime of age. With respect to my cardiologist's office saying my test results were "normal showing no sign of Marfan Syndrome" they are also wrong because showing any sign of tricuspid regurgitation IS A SIGN of Marfan Syndrome!
Its so frustrating to deal with so called professionals that know less about our disease than we do!
🥰
I have this and it sucks. 😞
Same here bro
@@maxhavels527 same here but the cardiologist cant find it on TTE, now im becoming a TEE Echo
@@UnknownUser-ts8lf i have been through both TTE and TEE and it's quite severe
But if you aren't diagnosed on TTE then it must be mild so you don't need to worry
Worry is all for me
I got an bacterial infect in Dezember 2018, dont know how hard does this injured my heart :(
@@UnknownUser-ts8lf it will be mild as the infection isn't even a year older
I wish you live a long life
syphillis should be SYPHILIS. nice video though
Thanks for the correction- We'll make an annotation.
excellent!
Nice explanation!!!!!!@