Saturday, May 21, 2016

TRICUSPID REGURGITATION (TR)

Etiology 

Usually functional and secondary to marked RV dilatation of any cause and often associated with pulmonary hypertension.



Clinical Manifestations 

Severe RV failure, with edema, hepatomegaly, and prominent v waves in jugular venous pulse with rapid y descent . Systolic murmur along lower left sternal edge is increased by inspiration. Doppler echocardiography confirms diagnosis and estimates severity.

Tricuspid Regurgitation TREATMENT

Intensive diuretic therapy when right-sided heart failure signs are present. In severe cases (in absence of severe pulmonary hypertension), surgical treatment consists of tricuspid annuloplasty or valve replacement.

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