Aortic regurgitation
مراجعة من قبل الدكتور أدريان بونسال، بكالوريوس الطب والجراحةآخر تحديث بواسطة الدكتور كولين تايدي، MRCGPLast updated 1 Aug 2017
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في هذه السلسلة:أمراض صمامات القلبMitral stenosisMitral regurgitationAortic stenosisالتهاب الشغاف العدوائي
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Aortic regurgitation is sometimes called aortic incompetence or a leaky aortic valve. In aortic regurgitation the valve does not close properly. The aortic valve is a heart valve that lies between the left ventricle and the aorta. Therefore, blood leaks back (regurgitates) into the left ventricle from the aorta.
In some cases, aortic regurgitation occurs at the same time as aortic stenosis. Read more about aortic stenosis.
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تابع القراءة أدناه
Symptoms
Mild aortic regurgitation may cause no symptoms. However symptoms may include
ضيق في التنفس, especially with exercise or when you lie down
Swollen ankles (oedema)
العلاج
العودة إلى المحتوياتIf the backflow of blood is mild then you may not need any treatment. If you develop complications, various medicines may be advised. Surgery may sometimes be advised.
الأدوية
Medication may be advised to help ease symptoms of heart failure if heart failure develops - for example, مثبطات الإنزيم المحول للأنجيوتنسين (ACE) و/أو 'water' tablets (diuretics). See separate leaflet called Heart Failure for more details on treatment methods.
الجراحة
Surgical options include repair of the aortic valve or replacement of the valve. The most recent guideline recommends replacement as the preferred option in most cases.
Valve replacement surgery may be with a mechanical or a tissue valve. Mechanical valves are made of materials which are not likely to react with your body, such as titanium. Tissue valves are made from treated animal tissue, such as valves from a pig. If you need surgery, a surgeon will advise on which is the best option for your situation.
Surgical treatment has greatly improved the outlook in most people with more severe regurgitation. The outlook (prognosis) is good if the valve is treated before the heart becomes badly damaged.
تابع القراءة أدناه
ما هي النتيجة؟
العودة إلى المحتوياتThe outcome (prognosis) will depend on the underlying cause and the severity of aortic regurgitation. The outcome is generally poor if there is no treatment but is good with available modern treatments.
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صحة القلب والأوعية الدموية
Atrial septal defect
Atrial septal defect (ASD) is a hole (defect) in the wall (septum) between the heart's two upper, or collecting, chambers (atria). One chamber is known as an atrium. The septum separates the heart's left and right side. A septal defect is sometime called a 'hole' in the heart. It is the third most common heart problem that babies are born with. Many defects in the atrial septum close themselves and cause no problems. Otherwise, they can be closed by keyhole procedure or surgery. Most babies born with a defect in the septum have normal survival.
بقلم الدكتور كولين تايدي، MRCGP

صحة القلب والأوعية الدموية
أمراض القلب والأوعية الدموية
Cardiovascular diseases (CVD) is a general term to describe diseases of the heart or blood vessels. The cause of most cardiovascular disease is a build-up of atheroma - a fatty deposit within the inside lining of arteries. The blood flow to the heart muscle may also be restricted by a blood clot in an artery taking blood to the heart muscle (coronary artery disease). Atheroma or a blood clot may also restrict or prevent blood going to the brain (cerebrovascular disease) or to the legs and feet (peripheral arterial disease). There are lifestyle factors that can be taken to reduce the risk of forming atheroma. These include not smoking; choosing healthy foods; a low salt intake; regular physical activity; keeping your weight and waist size down; drinking alcohol in moderation. Your blood pressure and cholesterol level are also important. All people aged over 40 years should have a cardiovascular health risk assessment - usually available at your GP surgery. If you have a high risk of developing a cardiovascular disease, treatment to reduce high blood pressure (hypertension) and/or cholesterol may be advised.
بقلم الدكتور كولين تايدي، MRCGP
قراءة إضافية ومراجع
- Prophylaxis against infective endocarditis: Antimicrobial prophylaxis against infective endocarditis in adults and children undergoing interventional procedures; NICE Clinical Guideline (March 2008 - last updated July 2016)
- 2023 ESC Guidelines for the management of infective endocarditis; European Society of Cardiology (Aug 2023)
- Nishimura RA, Otto CM, Bonow RO, et al; 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease. Circulation. 2017; CIR.0000000000000503. Originally published March 15, 2017.
- Vahanian A et al; Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology, 2017
- Ozkan M; What is new in ACC/AHA 2017 focused update of valvular heart disease guidelines. Anatol J Cardiol. 2017 Jun;17(6):421-422. doi: 10.14744/AnatolJCardiol.2017.7925.
تابع القراءة أدناه
About the author

الدكتور كولين تايدي، MRCGP
General Practitioner, Medical Author
MBBS, MRCGP, MRCP (Paediatrics), DCH
Dr Colin Tidy is an NHS Doctor, based in Oxfordshire.
About the reviewerView full bio

الدكتور أدريان بونسال، بكالوريوس الطب والجراحة
Medical Author
MA (Chemistry), MBBS (Hons), DCH
Since 2000 Adrian has been employed in emergency and critical care paediatrics based in Sydney, with particular interests in toxicology, trauma and resuscitation.
تاريخ المقال
تمت كتابة المعلومات على هذه الصفحة ومراجعتها من قبل أطباء مؤهلين.
1 Aug 2017 | أحدث إصدار
آخر تحديث بواسطة
الدكتور كولين تايدي، MRCGPمراجعة من قبل
الدكتور أدريان بونسال، بكالوريوس الطب والجراحة

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