Morganroth J, Perloff J K, Zeldis S M, Dunkman W B
Ann Intern Med. 1977 Aug;87(2):223-32. doi: 10.7326/0003-4819-87-2-223.
Acute severe aortic regurgitation is a relatively unfamiliar, though life-threatening, disease. We review its diverse causes, anatomic faults, and hemodynamic sequelae and set the stage for an understanding of the clinical manifestations in light of their physiologic mechanisms. Clinical information includes the natural history, physical signs (physical appearance, systemic arterial pulse, jugular venous pulse, precordial palpation, auscultation), electrocardiogram, and chest roentgenogram. Echocardiographic features are especially emphasized and the need for prompt diagnosis and surgical intervention underscored, even in the setting of active infective endocarditis.
急性重度主动脉瓣反流是一种相对陌生但危及生命的疾病。我们回顾其多样的病因、解剖缺陷和血流动力学后果，并根据其生理机制为理解临床表现奠定基础。临床信息包括自然病史、体征（外貌、体循环动脉脉搏、颈静脉脉搏、心前区触诊、听诊）、心电图和胸部X线片。尤其强调超声心动图特征，并强调即使在活动性感染性心内膜炎的情况下也需要及时诊断和手术干预。
