What ERO value is characteristic of severe aortic regurgitation?

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Prepare for the American Board of Internal Medicine Certification Exam. Utilize flashcards and multiple choice questions with hints and explanations to enhance your learning. Achieve success in your exam!

In the context of aortic regurgitation, the effective regurgitant orifice area (EROA) is a crucial measurement used to determine the severity of the condition. Severe aortic regurgitation is typically characterized by a significantly enlarged EROA, which indicates a greater volume of blood flowing back from the aorta into the left ventricle during diastole.

An EROA greater than 0.30 cm² is consistent with severe aortic regurgitation, reflecting a substantial regurgitant flow that can lead to volume overload of the left ventricle. This overload, if unaddressed, can progress to left ventricular dilation and ultimately heart failure due to the inability of the heart to compensate for the increased volume load effectively.

The values associated with less than 0.10 cm², between 0.10 cm² and 0.29 cm², and between 0.30 cm² and 0.40 cm² indicate varying degrees of regurgitation severity, with only the measurement above 0.30 cm² firmly indicating severe aortic regurgitation. Hence, when evaluating the severity of aortic regurgitation, an EROA greater than 0.30 cm²

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