A tropical climate can be observed in Nicaragua. Just as in the other Central American countries, there are two seasons: the dry and the raining season. During the dry season (January - June) there is virtually no rain and trees and plants start to dry out.
Causes of aortic valve regurgitation include: 1  Congenital heart valve disease. 2  You may have been born with an aortic valve that has only two leaflets (bicuspid valve) or fused leaflets rather than the normal three separate leaflets. 3  This puts you at risk of developing aortic valve regurgitation at some time in your life.
** Valvular aortic stenosis can produce a harsh, or even a musical murmur over the right second intercostal space which radiates into the neck over the two carotid arteries. The most common cause of AS (Aortic Stenosis) is calcified valves due to aging. Causes of midsystolic ejection murmurs include outflow obstruction, increased flow through normal semilunar valves, dilation of aortic root or pulmonary trunk, or structural changes in the semilunar valves without obstruction.