Tricuspid regurg

Question 1

Define tricuspid regurgitation

Answer 1

Defined as blood flowing backwards through the tricuspid valve-usually during systole
Primary-valve is fucked
Secondary -valve is fine

can be common and asymptomatic to a mild degree

Question 2

Aetiology and Risk factors for tricuspid regurgitation

Answer 2

Primary causes-usually congenital (cleft valve)
OR Aquired-Rheumathic fever, infective endocarditis, carcinoid syndrome, marfans

more common-secondary
Functional (RV DILATION-due to LV failure

Question 3

Symptoms of tricuspid regurgitation

Answer 3

Fatigue-
Hepatic pain on exerction
fluid overload-ascites and oedema
if LV related-->Dyspnoea, orthopnoa
loss of appetite

Question 4

Signs of Tricuspid regurgitation

Answer 4

Possible AF-palpitation and irregular heart beat

RAised JVP
RV heaves
Pansystolic murmur, at lower sternal angle at inspiration (carvallos)

pulsatile liver
jaundice
ascites
oedema

Question 5

Investigations of Tricuspid regurgitation

Answer 5

ECG-meh-can show
AF

Echocardiogram-diagnostic
CXR-cardiomegaly