Tricuspid Regurgitation Flashcards
1
Q
Functional tricuspid regurgitation may occur whenever the right ventricle ____
A
dilates
2
Q
which conditions lead to dilatation of the right ventricle?
A
in cor pulmonale, MI or pulmonary hypertension
3
Q
what conditions can organic tricuspid regurgitation occur with?
A
- rheumatic disease
- infective endocarditis
- carcinoid syndrome
- ebstein’s anomaly
4
Q
what are the symptoms?
A
right HF
5
Q
what are the signs?
A
- large jugular cv wave ad palpable liver that pulsates in systole
- usually a right ventricular impulse may be felt at the left sternal edge
6
Q
which arrhythmia is common with TR?
A
AF
7
Q
what is the murmur like?
A
blowing pansystolic murmur
8
Q
where is the murmur best heard?
A
on inspiration at the lower left sternal edge
9
Q
what is the treatment
A
- medical management - usually makes functional disappear
- severe organic tricuspid regurgitation may require operation
