in case of aortic regurgitation there is nocturnal angina
Nocturnal angina, or angina that occurs during the night, is not a typical symptom of isolated aortic regurgitation. Aortic regurgitation is a condition characterized by the leaking of blood backward from the aorta into the left ventricle during diastole (the relaxation phase of the cardiac cycle). The backward flow of blood can lead to volume overload of the left ventricle and several associated symptoms, but nocturnal angina is not commonly observed.
Angina is chest pain or discomfort that occurs when there is inadequate blood flow to the heart muscle, usually due to coronary artery disease. It is typically triggered by physical exertion or emotional stress and is relieved with rest or nitroglycerin medication. The pain is often described as a squeezing, pressure-like sensation in the chest that may radiate to the arms, neck, jaw, or back.
In aortic regurgitation, the most common symptoms are related to the volume overload of the left ventricle and include fatigue, palpitations, dyspnea (shortness of breath) on exertion, and in advanced cases, signs of heart failure such as edema (swelling) and fluid retention. Patients may also experience a diastolic murmur, which is a specific sound heard during cardiac auscultation.
If a patient with aortic regurgitation experiences angina-like symptoms, it is important to consider other possible causes, such as concomitant coronary artery disease or other cardiac conditions that can cause chest pain. Evaluating the patient’s complete medical history, conducting a thorough physical examination, and performing additional diagnostic tests, including electrocardiogram (ECG), echocardiogram, and possibly stress testing or coronary angiography, may be necessary to determine the underlying cause of the symptoms.
It’s important to consult with a healthcare professional for a proper evaluation and diagnosis of any symptoms or concerns related to cardiac conditions.