What are the typical symptoms of aortic regurgitation?

Study for the NBME Form 14 Step 2 Test with comprehensive questions and detailed explanations. Enhance your test-taking skills and ace your exam with confidence!

Aortic regurgitation is a condition where the aortic valve fails to close properly, leading to a backflow of blood from the aorta into the left ventricle during diastole. The typical symptoms associated with this condition often arise from the volume overload of the left ventricle and the subsequent heart failure that may develop over time.

The correct answer highlights dyspnea (shortness of breath), palpitations, and fatigue as the primary symptoms. Dyspnea can occur due to pulmonary congestion from left-sided heart failure, as the failing heart cannot efficiently pump blood. Palpitations may be experienced as a result of left ventricular enlargement and the development of arrhythmias. Fatigue is common as the heart struggles to maintain adequate cardiac output, particularly during exertion.

This constellation of symptoms is characteristic for patients who have seen a progression of aortic regurgitation, especially when it is chronic. In earlier stages, patients might be asymptomatic, but as the condition advances, these symptoms become more apparent and debilitating.

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