Exertional dyspnea and awareness of forceful heartbeat, angina pectoris, and signs of LV failure. Wide pulse pressure, “water hammer” pulse, capillary pulsations (Quincke's sign), A₂ soft or absent, S₃ may be present. Blowing, decrescendo diastolic murmur along left sternal border (along right sternal border when due to aortic dilatation). In acute severe AR, the pulse pressure is typically not widened and the diastolic murmur is often short (i.e., occurring only in early diastole) and soft.