Aortic Incompetence: A Comprehensive Guide

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 Aortic incompetence,Wikipedia

Keywords

Aortic incompetence, aortic regurgitation, heart valve disease, symptoms of AI, homeopathic treatment for aortic valve disease, valvular heart disease, AI diagnosis, AI complications, Ayurveda and homeopathy for heart disease


Definition

Aortic incompetence is a valvular heart disease where the aortic valve does not close completely during diastole, causing blood to flow backward from the aorta into the left ventricle.


Aetiology (Causes)

- Congenital bicuspid aortic valve

- Rheumatic heart disease

- Infective endocarditis

- Aortic root dilation (e.g., Marfan syndrome)

- Hypertension

- Trauma or valve degeneration


Clinical Features & Symptoms

- Dyspnea (especially on exertion)

- Palpitations

- Angina

- Fatigue

- Orthopnea and paroxysmal nocturnal dyspnea

- Bounding pulses and wide pulse pressure


History of Blood Pressure

- Systolic hypertension with low diastolic pressure

- Wide pulse pressure is a hallmark feature


On Examination

- Corrigan’s pulse (water hammer pulse)

- Quincke’s sign (capillary pulsations in nail beds)

- Early diastolic murmur best heard at left sternal border

- Displaced apex beat due to left ventricular hypertrophy


Investigations

- Echocardiography (gold standard for valve assessment)

- Chest X-ray (may show cardiomegaly)

- ECG (left ventricular hypertrophy)

- Cardiac MRI (for aortic root evaluation)

- Blood tests (to rule out infective causes)


Differential Diagnosis

- Mitral regurgitation

- Aortic stenosis

- Pulmonary regurgitation

- Patent ductus arteriosus


Complications

- Heart failure

- Arrhythmias

- Endocarditis

- Sudden cardiac death (rare but possible)


Treatment


Conventional

- Medical management: ACE inhibitors, diuretics, beta-blockers

- Surgical: Aortic valve replacement (AVR) or repair


Homeopathic Remedies

- Crataegus oxyacantha: Improves cardiac tone

- Digitalis: For slow, irregular pulse and heart failure symptoms

- Spongia tosta: For valvular murmurs

- Laurocerasus: For cyanosis and weak pulse

- Adonis vernalis: For heart failure with edema


Note: Homeopathy should be used under guidance of a qualified practitioner.


Integrative Approach

Combining Ayurveda, homeopathy, and modern cardiology can offer holistic care, especially in early stages or for symptom relief. Lifestyle changes, yoga, and dietary modifications play a supportive role.


- References

- HomeoCare Clinic – Aortic Stenosis & Homeopathy

- Hpathy – Valvular Diseases of the Heart

- Rajeev Clinic – Aortic Disease Treatment


⚠️ Disclaimer: This post is for educational purposes only. Please consult a qualified doctor for diagnosis and treatment. Homeopathic remedies should be taken under professional supervision.


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