Tricuspid stenosis

Question 1

Uncommon valve lesion, usually due to _____ heart disease.

Answer 1

rheumatic

Question 2

tricuspid valve stenosis results in a reduced ___, which is restored to normal when the right atrial pressure _____. The resulting systemic venous congestion produces what three things

Answer 2

tricuspid valve stenosis results in a reduced CO, which is restored to normal when the right atrial pressure increases

hepatomegaly, ascites and dependent oedema

Question 3

what are the symptoms?

Answer 3

abdominal pain- heaptomegaly
swelling - ascites
peripheral oedema

Question 4

what are the signs?

Answer 4

• if patient remains in sinus rhythm, which is unusual, prominent jugular venous a wave.
• pre-systolic pulsation over the liver

Question 5

what is the murmur like?

Answer 5

rumbling mid-diastolic murmur, which is heard best at lower left sternal edge and is louder on inspiration

Question 6

the murmur is louder on _____

Answer 6

inspiration

Question 7

what investigations should be done?

Answer 7

CXR

• ECG
• Echo
• Cardiac catheterisation

Question 8

what may be seen on CXR?

Answer 8

may be prominent right atrial bulge

Question 9

what are the features of ECG?

Answer 9

enlarged right atrium may be shown by tall p waves in lead II

Question 10

what is the point of CC?

Answer 10

demonstrates diastolic pressure gradient between right atrium and v

Question 11

what is the medical treatment?

Answer 11

diuretics and salt restriction

surgery