Physical findings in aortic regurgitation vary with the severity of disease. The murmur is diastolic, decrescendo, and heard along the left sternal border. It is frequently missed because it is very similar to normal breath sounds. Listening during held expiration improves chances of correctly identifying the murmur.
A third heart sound is common. An Austin-FIint murmur may be present. This murmur sounds exactly like that of mitral stenosis. Its pathogenesis is incompletely understood but results from interaction between the regurgitant jet and mitral valve inflow.
Significant aortic regurgitation is usually accompanied by a wide pulse pressure. This pulse pressure is typically at least 60 mmHg, and the diastolic pressure is typically 70 mmHg.
What are the peripheral pulse findings?
The wide pulse pressure can produce many abnormalities in the peripheral pulses:
Bifid carotid pulse
Visible carotid pulsations (Corrigan’s pulse)
Head bobbing (de Musset’s sign)
Bobbing of the uvula (Muller’s sign)
Femoral artery bruit induced by light pressure over the artery (Duroziez’s murmur)
Pistol shot sound over the femoral artery (Traube’s sound)
Visible pulsations in the nail beds (Quincke’s pulses).
What are the major physical findings? Photo Gallery
Maybe You Like Them Too
- Could your GP soon be prescribing probiotics?
- DR Karen Sherman Lead Researcher at The Seattle Group Health Center
- To Start Winning The Battle of The Bulge You Need to Be Able to Separate Fact From Fallacy
- Are There any Foods That can Help Reduce Stress?
- I Pack Lunch to Save Money But am Getting Sick of The Same Old Same Old Any Tips to Spice Things Up?