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Regurgitação aórtica

Última revisão: 14 Sep 2025
Última atualização: 12 Dec 2024

Resumo

Definição

病史和体格检查

关键诊断因素

  • presença de fatores de risco
  • sopro diastólico
完整详情

其他诊断因素

  • 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
完整详情

危险因素

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

诊断性检查

首要检查

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

需考虑的检查

  • angiocintilografia
  • RNM
  • teste ergométrico
  • cateterismo cardíaco
完整详情

治疗流程

急症处理

regurgitação aórtica aguda

持续性治疗

RA crônica: leve a moderada

RA crônica: grave, assintomática

RA crônica: grave, sintomática

撰稿人

作者

Poorna R. Karuparthi, MD, FACC

Associate Professor of Medicine

University of Missouri-Columbia

Chief of Cardiology

Harry S. Truman Veterans' Hospital

Columbia

MO

利益声明

PRK declares that he has no competing interests.

鸣谢

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

利益声明

SW and NK declare that they have no competing interests.

同行评议者

Kul Aggarwal, MD, MRCP, FACC, FACP

Professor of Clinical Medicine

University of Missouri-Columbia

Chief

Cardiology Section

Harry S. Truman Veterans Hospital

Columbia

MO

利益声明

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

利益声明

RK declares that he has no competing interests.

John Pepper, MChir FRCS

Consultant Cardiac Surgeon

Department of Surgery

Royal Brompton Hospital

London

UK

利益声明

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.

参考文献

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.

关键文献

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.全文  摘要

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.全文  摘要

参考文献

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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  • 指南

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    • 2020 ESC guidelines for the management of adult congenital heart disease
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  • 患者教育信息

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  • Videos

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