Aortic Regurgitation / Aortic insufficiency ( Acute and chronic ) - Usmle step 1

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  • Опубликовано: 3 авг 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.

Комментарии • 71

  • @doctorbhanuprakash
    @doctorbhanuprakash  4 года назад +7

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  • @aishaanis225
    @aishaanis225 4 года назад +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 RUclips my concepts are all cleared thank you....

  • @vrundpandya4853
    @vrundpandya4853 5 лет назад +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!

  • @mrabin8098
    @mrabin8098 2 года назад +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..

  • @kdh1983
    @kdh1983 6 лет назад +1

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

  • @HafizahHoshni
    @HafizahHoshni 5 лет назад +4

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

  • @dr.ruthsheeba3087
    @dr.ruthsheeba3087 5 лет назад +2

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

  • @diyaambulkar
    @diyaambulkar 6 лет назад +1

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

  • @Docter125
    @Docter125 Год назад +1

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

  • @swatiprasad8150
    @swatiprasad8150 6 лет назад +1

    Thanku sir. Your videos are very helpful 😊

  • @semesterone1119
    @semesterone1119 2 года назад +1

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

  • @jaz_shl
    @jaz_shl 4 года назад +1

    Great class, Sir.

  • @gtm76ui88
    @gtm76ui88 Год назад +2

    Thank you so much sir 😊 very very explained

  • @shenbagamchidambaram3744
    @shenbagamchidambaram3744 3 года назад +1

    Efficient&clear explanation.Long live.

  • @aratighadai3803
    @aratighadai3803 2 года назад +1

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

  • @bimitkumarjain1403
    @bimitkumarjain1403 4 года назад +1

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

  • @mohdafran6196
    @mohdafran6196 5 лет назад +1

    Love it

  • @sinansaidmt
    @sinansaidmt 4 года назад +1

    NIZE VIDEO
    THANK U SIR

  • @dr.abhaykumar8233
    @dr.abhaykumar8233 7 лет назад +1

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

  • @Parveenkumarmobile3934
    @Parveenkumarmobile3934 5 лет назад +1

    Superb

  • @doctorsivavignesh6044
    @doctorsivavignesh6044 3 года назад +1

    💥💥great sir

  • @rabiasamma5780
    @rabiasamma5780 3 года назад +1

    Be blessed 🙏🏽

  • @aboutafghanistan6479
    @aboutafghanistan6479 Год назад

    Big Fan from Pakistan love you Sir

  • @indranilbari4477
    @indranilbari4477 4 года назад +1

    Nicely Explained ❤❤, MORE VIDEO UPLOAD SIR 😊😊

  • @deepthibadam4177
    @deepthibadam4177 Год назад +1

    Awesome

  • @bhuhaftmadar7084
    @bhuhaftmadar7084 Год назад +1

    Thankyou so much. Very well explained

  • @umiiibutt7998
    @umiiibutt7998 5 лет назад +1

    Thnx sir..

  • @daniaali1374
    @daniaali1374 2 года назад +1

    Thank you so much that was very helpful

  • @murugesandr.9868
    @murugesandr.9868 2 года назад +1

    Good lecture sir
    Congrats

  • @sajawalkhan4421
    @sajawalkhan4421 5 лет назад +1

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

  • @Hassanwahab.
    @Hassanwahab. Месяц назад

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

  • @Doctormorphin
    @Doctormorphin 3 года назад +1

    Always great sir g🥰

  • @Docter125
    @Docter125 Год назад +1

    Suprb

  • @battiniravikumar4975
    @battiniravikumar4975 5 лет назад +1

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

  • @mernaezz9488
    @mernaezz9488 4 года назад +1

    Great sir💙🤗

  • @diptipattnaik207
    @diptipattnaik207 Год назад +1

    Excellent

  • @swetamishra7382
    @swetamishra7382 4 года назад +1

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

  • @iqrajadoon6552
    @iqrajadoon6552 5 лет назад

    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 3 года назад +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 Год назад

      @@jhanifadibagulun7409 yawn it’s the cause

  • @debanjan25
    @debanjan25 3 года назад +1

    Thanks a lot sir

  • @loredelore7286
    @loredelore7286 2 года назад

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

  • @amreshbc3164
    @amreshbc3164 5 лет назад

    I want more videos sir

  • @user-wg3yb8ud6l
    @user-wg3yb8ud6l 3 года назад

    Is there..an druges treatments...pleas

  • @animeseriesfullepisode7165
    @animeseriesfullepisode7165 4 года назад

    Any medicine for this

  • @jahnavisaisuchita5838
    @jahnavisaisuchita5838 4 года назад +1

    Pls do other videos on cvs topics

  • @AkSantech
    @AkSantech 6 лет назад +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  6 лет назад

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

    • @AkSantech
      @AkSantech 6 лет назад

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

    • @AkSantech
      @AkSantech 6 лет назад

      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 Год назад

    Sir not downloading theirs video

  • @aboutafghanistan6479
    @aboutafghanistan6479 Год назад

    Membership in India ruppee