What are the symptoms of severe chronic 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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Symptoms of severe chronic AR include the following:

Palpitations - Often described as the sensation of having forceful heart beats, due to widened pulse pressure with hyperdynamic circulation

  • Uncomfortable awareness of the heartbeat

  • Shortness of breath - May not worsen with exertion in the early stages due to compensatory tachycardia with shortened diastole

  • Chest pain - Occurs if increased LV end-diastolic pressure compromises coronary perfusion pressure gradients

  • Sudden cardiac death - This is uncommon (< 0.2% per year) in asymptomatic patients with preserved LV function

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