tricuspid regurgitation Flashcards
1
Q
define tricuspid regurgitation?
A
backflow of blood from the right ventricle to the right atrium during systole
2
Q
what is the main cause of tricuspid regurgitation?
A
• Infective Endocarditis - most common cause
3
Q
what is a cause of tricuspid regurgitation related to COPD?
A
pulmonary hypertension
4
Q
what is a congenital cause of tricuspid regurgition?
A
o Ebstein’s anomaly
5
Q
presenting symptoms of tricuspid regurgitation?
A
- Fatigue
- Breathlessness
- Palpitations
- Headaches
- Nausea
- Anorexia
- Epigastric pain made worse by exercise
- Jaundice
- Lower limb swelling
6
Q
how is tricuspid regurgitation best described?
A
• Pan-systolic murmur
o High pitched blowing murmur
7
Q
where is tricuspid regurgitation best heard?
A
• Best heard on lower left sternal border – radiates to right sternal border
8
Q
what are signs of tricuspid regurgitation?
A
- Prominent V waves in the JVP
- Pulsatile hepatomegaly
- Left parasternal heave
- Loud S2
- Raised JVP
- Pulse - irregularly irregular if AF
9
Q
best investigation for tricuspid regurgitation?
A
• Echocardiography
