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Cardiovascular - Aortic Regurgitation
In this episode, we break down aortic regurgitation—from the core pathophysiology of a "leaky" aortic valve to the classic physical exam findings every clinician should recognize. We walk through risk factors, epidemiology, diagnostic strategies, and when to consider surgical valve replacement. You'll hear high-yield teaching on hallmark signs such as wide pulse pressure, water-hammer pulses, and the blowing early diastolic murmur, along with practical insights on complications and modern TAVR considerations. A concise, clinically focused review for PA students and providers looking to strengthen their cardiology foundation.
References
1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.
2) Gill R, Farmer AD. Aortic regret? An updated review of aortic regurgitation: etiologies, imaging, surveillance, and intervention. Open Heart. 2025;12:e002249. PMID and PMCID: PMC12230845. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12230845/
3) Pawar S, Allen C, Mori M, et al. Contemporary diagnosis and treatment of aortic regurgitation: a state-of-the-art review. J Am Coll Cardiol. Published online Oct 28 2025. doi:10.1016/j.jacc.2025.10.026.
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By Kristopher Maday, PA-C, DFAAPAIn this episode, we break down aortic regurgitation—from the core pathophysiology of a "leaky" aortic valve to the classic physical exam findings every clinician should recognize. We walk through risk factors, epidemiology, diagnostic strategies, and when to consider surgical valve replacement. You'll hear high-yield teaching on hallmark signs such as wide pulse pressure, water-hammer pulses, and the blowing early diastolic murmur, along with practical insights on complications and modern TAVR considerations. A concise, clinically focused review for PA students and providers looking to strengthen their cardiology foundation.
References
1) Bushardt RL, Colomb-Lippa DM, Klinger AM, Reed H. The JAAPA QRS Review for PAs: Study Plan and Guide for PANCE and PANRE. 1st ed. LWW; 2021. ISBN: 9781975143817.
2) Gill R, Farmer AD. Aortic regret? An updated review of aortic regurgitation: etiologies, imaging, surveillance, and intervention. Open Heart. 2025;12:e002249. PMID and PMCID: PMC12230845. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12230845/
3) Pawar S, Allen C, Mori M, et al. Contemporary diagnosis and treatment of aortic regurgitation: a state-of-the-art review. J Am Coll Cardiol. Published online Oct 28 2025. doi:10.1016/j.jacc.2025.10.026.