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This condition may be classified as being due to cusp abnormality or to aortic ring dilatation.

NICE guidance with respect to asymptomatic aortic regurgitation states (1):

  • consider referring adults with asymptomatic severe aortic regurgitation for intervention, if suitable, if they have either of the following:
    • LVEF less than 55% or
    • end systolic diameter (ESD) of more than 50 mm or end systolic diameter index (ESDI) more than 24 mm/m2 on echocardiography

Reference:

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