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- $Unique_ID{BRK00319}
- $Pretitle{}
- $Title{Heart Murmur in the Aorta}
- $Subject{heart valves aorta regurgitation Circulatory AR incompetence
- insufficiency ventricle valve bicuspid hypertension ankylosing spondylitis
- arthritis palpitations}
- $Volume{G-3}
- $Log{
- Blood Flow in the Heart*0004103.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Heart Murmur in the Aorta
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- QUESTION: Recently, after many years without medical care, I visited a
- physician who discovered a heart murmur in my aorta. He was very patient with
- me and tried to describe my condition, but the only term I remember is
- "regurgitation"; but doesn't that apply to vomiting? Do you have enough
- information to tell me what is wrong?
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- ANSWER: It is always hard to concentrate when the anxiety of a new and
- unexpected diagnosis disturbs our thinking. But you have given me more than
- enough clues to your condition for me to discuss it. It is a disease called
- aortic regurgitation (AR), sometimes called aortic incompetence or
- insufficiency, which affects the aortic valves that separate the left
- ventricle of the heart from the main body artery, the aorta. These valves are
- responsible for keeping the blood flowing in the right direction, from the
- heart to the body. However, when they become diseased they no longer close
- completely, and allow some blood to flow backward into the left ventricle,
- thus the term "regurgitation". In adults, the commonest cause of mild AR are
- a two leafed (or bicuspid) valve where normally there are three valves, or
- severe hypertension. It may also be found associated with ankylosing
- spondylitis and other forms of arthritis. The murmur your physician heard was
- caused by the blood flowing backward for an instant, right after your heart
- has contracted. Treatment will depend upon your symptoms. Frequently they
- are minimal, but you may become breathless on exertion or develop heart
- palpitations. If the symptoms of heart failure develop, surgically replacing
- the damaged valves is currently the treatment of choice. Since your physician
- seems concerned and knowledgeable, I am sure you will be able to discuss all
- of this with him again, particularly the appropriate treatment in your case.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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