[8] Tricuspid Regurgitation Flashcards
What does the development of tricuspid insufficiency involve?
The expansion of the tricuspid annulus, leading to a change in its shape
What is the result of the expansion of the tricuspid annulus in tricuspid regurgitation?
It affects the working mechanism of the tricuspid leaflets, as their shape is important for their function
What are the causes of tricuspid regurgitation?
- Functional
- Rheumatic fever
- Infective endocarditis
- Carcinoid syndrome
- Congenital
- Drugs
Give 2 examples of functional causes of tricuspid regurgitation
- RV dilation caused by pulmonary hypertension induced LV failure
- PE
What drugs can cause tricuspid regurgitation?
- Ergot derived dopamine agonists
- Fenfluramine
What are the symptoms of tricuspid regurgitation?
- Fatigue
- Hepatic pain on exertion
- Ascites
- Oedema
- Symptoms of causative condition
What are the examination findings in tricuspid regurgitation?
What are the treatment options in tricuspid regurgitation?
- Drugs
- Treatment of underlying cause
- Treatment of associated arrhythmias
- Valve repair or replacement
What drugs are used in the treatment of tricuspid regurgitation?
When is valve repair or replacement required in tricuspid regurgitation?
Severe cases
What is currently the favoured method for valve repair or replacement in tricuspid regurgitation?
Ring annuloplasty
