The Frequency of Systolic Aortic Regurgitation and Its Relationship to Heart Failure in a Consecutive Series of Patients

A simple echo-Doppler sign to assess improved myocardial performance after transcatheter aortic valve implantation

“…Consequently it is very probable that the major reason for systolic aortic regurgitation to cease is the enhanced myocardial contractility after afterload relief by TAVI. This is in accord with the observation of the link between systolic aortic regurgitation and heart failure [4] and provides the first description of temporal evolution of systolic aortic regurgitation. The assessment of changes in the evolution of the systolic aortic regurgitation phenomenon by simple continuous-wave Doppler may help in the evaluation of systolic performance of the left ventricle.…”

“…As ventricular systole is sometimes unable to overcome aortic arterial pressure, aortic regurgitation during the whole systole may occur. The phenomenon of systolic aortic regurgitation has been described in patients with syncope [3] and heart failure [4], and rather than a physiological oxymoron, is not an exceptional finding in clinical practice [4,5]. We present the case of a patient with systolic aortic regurgitation immediately after TAVI.…”

Insuficiencia aórtica sistólica, un fenómeno singular

“…hasta tres veces 6 . La IAS ha sido descrita en casos de disfunción ventricular izquierda, fibrilación auricular, posterior a reparaciones complejas de cardiopatías congénitas y luego de una contracción ventricular inefectiva asociada a extrasístoles ventriculares, situación en la que fueron descritos los primeros reportes de dicho fenómeno 3 .…”

Systolic aortic regurgitation: A not-so-rare phenomenon

“…According to Shetty et al systolic aortic regurgitation is an extremely rare phenomenon, but in our opinion it rather remains underreported and very probably underrecognized. In a small prospective study, echocardiography was able to detect systolic aortic regurgitation in 2.3% of patients admitted to a general hospital, and was more frequent in patients with heart failure [6].…”

“…1, panel F. In conclusion, we believe that systolic aortic (or pulmonary) regurgitation is not exceptional phenomena and should be correctly recognized in echocardiographic examinations as a sign of ventricular ineffective contraction. Beyond its potential as an elegant quiz about heart physiology [2], clinical associations [5,6] and usefulness of resolution of the phenomenon as marker of response to therapy [6] of systolic aortic regurgitation have been described. Further studies should determine if the presence of the phenomenon of aortic or pulmonary systolic regurgitation could help in the clinical management of any set of patients.…”