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Regurgitação aórtica

Last reviewed: 24 Sep 2025
Last updated: 12 Dec 2024

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • sopro diastólico
Full details

Other diagnostic factors

  • dispneia
  • fadiga
  • fraqueza
  • ortopneia
  • dispneia paroxística noturna
  • palidez
  • mosqueamento das extremidades
  • pulso periférico rápido e fraco
  • estase jugular
  • crepitações nas bases pulmonares
  • estado mental alterado
  • débito urinário <30 mL/hora
  • B1 hipofonética
  • A2 hipofonética ou ausente
  • pulso em colapso (em martelo d'água ou de Corrigan)
  • cianose
  • taquipneia
  • impulso apical deslocado e hiperdinâmico
  • dor torácica
  • expectoração rósea e espumosa
  • sibilo (asma cardíaca)
  • sons cardíacos adicionais
  • arritmias
  • sopro do fluxo sistólico de ejeção
  • sopro de Austin Flint
  • frêmito sistólico
  • sinal de Hill
  • pulso bisferiens
  • sinal de Musset
  • sinal de Muller
  • sinal de Traube
  • sinal de Quincke
  • sinal de Duroziez
  • sinal de Mayen
  • sinal de Lighthouse
  • sinal de Becker
  • sinal de Landolfi
  • sinal de Rosenbach
  • sinal de Gerhardt
  • sinal de Lincoln
  • sinal de Sherman
  • estalido palmar
  • síncope
Full details

Risk factors

  • valva da aorta bicúspide
  • febre reumática
  • endocardite
  • síndrome de Marfan e doenças relacionadas do tecido conjuntivo
  • hipertensão sistêmica
  • aortite
  • idade avançada
Full details

Diagnostic investigations

1st investigations to order

  • eletrocardiograma (ECG)
  • radiografia torácica
  • ecocardiograma
  • modo-M e imagem bidimensional
  • Dopplerfluxometria colorida
  • Doppler de onda pulsada
  • Doppler de onda contínua
Full details

Investigations to consider

  • angiocintilografia
  • RNM
  • teste ergométrico
  • cateterismo cardíaco
Full details

Treatment algorithm

ACUTE

regurgitação aórtica aguda

ONGOING

RA crônica: leve a moderada

RA crônica: grave, assintomática

RA crônica: grave, sintomática

Contributors

Authors

Poorna R. Karuparthi, MD, FACC

Associate Professor of Medicine

University of Missouri-Columbia

Chief of Cardiology

Harry S. Truman Veterans' Hospital

Columbia

MO

Disclosures

PRK declares that he has no competing interests.

Acknowledgements

Dr Poorna R. Karuparthi would like to gratefully acknowledge Dr Sanjeev Wasson and Dr Nishant Kalra, previous contributors to this topic.

Disclosures

SW and NK declare that they have no competing interests.

Peer reviewers

Kul Aggarwal, MD, MRCP, FACC, FACP

Professor of Clinical Medicine

University of Missouri-Columbia

Chief

Cardiology Section

Harry S. Truman Veterans Hospital

Columbia

MO

Disclosures

KA declares that he has no competing interests.

Rajdeep Khattar, DM, FRCP, FACC, FESC

Consultant Cardiologist and Honorary Senior Clinical Lecturer

Manchester Heart Centre

Central Manchester and Manchester Children's NHS Foundation Trust

Manchester

UK

Disclosures

RK declares that he has no competing interests.

John Pepper, MChir FRCS

Consultant Cardiac Surgeon

Department of Surgery

Royal Brompton Hospital

London

UK

Disclosures

JP declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Writing Committee Members, Otto CM, Nishimura RA, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2021 Feb 2;77(4):e25-197.Full text  Abstract

Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2022 Feb 12;43(7):561-632.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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