In the management of chronic aortic regurgitation, the left ventricular size and function should be monitored closely along with the exercise tolerance of the patient. If the patient develops heart failure symptoms and the disease starts to be symptomatic, then aortic valve replacement or valve repair is indicated. Annual echocardiographic studies are indicated in all patients with significant AR. Vasodilators such as ACE inhibitors, nifedipine, sodium nitroprusside, and hydralazine may slow the rate of progression of AR. The greatest benefit of medical therapy is among symptomatic patients and those with heart failure symptoms due to advanced disease, but in general, medical therapy has a limited role in AR because symptomatic cases should be treated with valve replacement if the patient is a good candidate for surgery. Warfarin and long-term anticoagulation is not recommended in AR if there are no other indications for anticoagulation.
Chronic aortic regurgitation medical therapy
Aortic stenosis medical therapy
Tricuspid regurgitation medical therapy
Chronic mitral regurgitation treatment
Mitral stenosis medical therapy
Acute aortic regurgitation medical therapy
Tricuspid stenosis medical therapy
Hypertrophic cardiomyopathy medical therapy