Abstract
Purpose of Review: The evaluation of aortic regurgitation (AR) has advanced from physical examination and angiography towards evidence based non-invasive quantitative methods, primarily with echocardiography and more recently with cardiac magnetic resonance (CMR). This review highlights the guidelines and recent evidence in the diagnosis and management of AR; and outlines future areas of research. Recent Findings: Contemporary large cohorts of AR patients studied with echocardiography and CMR suggest that the left ventricular remodeling and systolic function triggers for intervention may be lower than previously recommended in the guidelines and emphasize the importance of LV volumes in risk stratification. Summary: Important gaps of knowledge in the quantitation of AR severity and patient risk stratification were fulfilled recently. Potential thresholds for intervention using ventricular volumes and CMR quantitative findings were recently described. The criteria for what constitutes hemodynamically significant AR and the optimal timing of intervention AR deserve further study.
Original language | English (US) |
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Pages (from-to) | 1373-1380 |
Number of pages | 8 |
Journal | Current Cardiology Reports |
Volume | 25 |
Issue number | 10 |
DOIs | |
State | Published - Oct 2023 |
Keywords
- Aortic regurgitation
- Aortic valve surgery
- Cardiac magnetic resonance
- Echocardiography
- Management guidelines
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine