What is the annual mortality rate of aortic regurgitation (AR)?

Updated: Nov 19, 2018
  • Author: Stanley S Wang, JD, MD, MPH; Chief Editor: Terrence X O'Brien, MD, MS, FACC  more...
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Answer

The presence of symptoms has been found to predict yearly mortality risk, as follows:

  • Asymptomatic - 2.8%

  • New York Heart Association (NYHA) class I - 3.0%

  • NYHA class II - 6.3%

  • NYHA class III-IV - 24.6%

Although these types of data suggest that a symptom-triggered approach to surgical intervention may be feasible, multiple studies have shown that, as stated earlier, the most important predictors of mortality (and of postoperative LV function) are not symptoms but 2 crucial echocardiographic parameters; specifically, LV ejection fraction and LV end-systolic dimension.


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