Aortic Regurgitation Medical Slides
Generate publication-quality aortic regurgitation lecture slides in 30 seconds. AI-powered content structured for clinical education.
Generate Aortic Regurgitation DeckWhy teach Aortic Regurgitation?
Aortic regurgitation may be chronic with a prolonged compensated phase or acute and immediately life-threatening. Chronic severe AR allows years of asymptomatic LV volume overload before irreversible myocardial damage occurs, making surveillance timing critical. Teaching AR requires differentiation of acute from chronic presentations, systematic echocardiographic severity assessment, and guideline-based surgical trigger criteria.
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Aortic Regurgitation Presentation FAQ
How should acute versus chronic AR be differentiated in teaching slides?
Create a comparison slide: acute AR presents with flash pulmonary edema, tachycardia, narrow pulse pressure (LV cannot dilate acutely), and soft/absent diastolic murmur — it is a surgical emergency. Chronic AR shows wide pulse pressure, hyperdynamic pulses (Corrigan, de Musset, Quincke signs), displaced PMI, and a loud blowing diastolic murmur. Echo hallmark of acute AR: premature mitral valve closure.
What surveillance intervals should be recommended for chronic AR?
Per the 2020 ACC/AHA guidelines: severe AR with normal LV function — echo every 6-12 months with clinical assessment every 6 months. Moderate AR — echo every 1-2 years. Mild AR — echo every 3-5 years. Emphasize that exercise testing can unmask symptoms in apparently asymptomatic patients and is a Class IIa recommendation for equivocal cases.
What surgical thresholds should be highlighted for chronic severe AR?
Present Class I indications: symptomatic severe AR, asymptomatic with LVEF ≤55%, or asymptomatic undergoing other cardiac surgery. Include the 2020 ACC/AHA Class IIa triggers: LVESD >50 mm or indexed >25 mm/m², LVEDV index >65 mL/m², and progressive LV dilation on serial imaging. Discuss valve-sparing root replacement (David procedure) for root dilation with normal leaflets to avoid lifelong anticoagulation.
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