Tricuspid Regurg

Question 1

Tricuspid Regurg: Etiology

Answer 1

1. Primary valve abnormalities
2. Elevated pulmonary pressure
3. Annular dilation/calcification
4. Congenital valve abnormalities
5. Prosthetic valve dysfunction
6. Trivial/mild TR is common

Question 2

Tricuspid Regurg: Etiology–>Primary valve abnormalities

Answer 2

1. Rheumatic
2. Prolapse
3. Endocarditis
4. Carcinoid

Question 3

Tricuspid Regurg: Etiology–>Congenital valve abnormalities

Answer 3

Ebstein’s

Question 4

Tricuspid Regurg: Pathophysiology

Answer 4

1. RA volume overload

2. Increased risk for endocarditis

Question 5

Tricuspid Regurg: Pathophysiology–> RA volume overload leads to?

Answer 5

RA dilation

Question 6

Tricuspid Regurg: Murmur

Answer 6

Holosystolic murmur which increases with inspiration may be present

Question 7

Tricuspid Regurg: Physical signs

Answer 7

1. Jugular venous distention

2. Symptoms of right heart failure

Question 8

Tricuspid Regurg: Echo

Answer 8

1. Valvular abnormalities may be seen
2. RA dilation
   3 RV dilation with displacement of LV septum posteriorly
3. Dilation of the IVC

Question 9

Tricuspid Regurg: Echo–> contrast

Answer 9

Systolic appearance of bubbles in the IVC

Question 10

When there is systolic flow reversal of bubbles in the IVC is it TR or tamponade?

Answer 10

TR