Medical Treatment of Aortic Regurgitation

Aortic regurgitation has no medical treatment. The only true treatment is surgery.

Medicines are only useful in patients with high arterial pressure and in those operated on with ventricular dysfunction in which it has not improved after surgery. The most useful ones are the so called ACE inhibitors (captopril, enalapril, lisinopril, etc) and AT2 antagonists (losartán, valsartán, telmisartán, etc).

It’s important to state that no effect of these or other pills has been proven to delay surgery.

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Every normal heart consists of heart muscle and four valves. Two valves are located between forechambers (atria) and pumping chambers (ventricles) as inlet valves, the other two are between ventricles and big arteries (aorta, pulmonary artery) as outlet valves of the pumping chambers. These valves regulate inflow into the heart and outflow into lungs of the body through coordinated opening and closing.

A disease may be caused by an inborn anomaly that gets worse with age. Some heart valve disease may only occur with wear due to increasing age or as a consequence of infections with bacteria.

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