tricuspid stenosis Flashcards
1
Q
who gets it most
A
women
2
Q
due to
A
rheumatic heart disease
3
Q
what is it associated with
A
mitral and/or aortic valve disease
4
Q
what syndrome is it seen in
A
carcinoid syndrome
5
Q
what does it result in
A
reduced cardiac output
6
Q
what does it produce
A
- hepatomegaly
- ascites
- dependent oedema
7
Q
symptoms
A
- abdominal pain
- swelling
- peripheral oedema
- dyspnoea
8
Q
signs
A
- JVP a wave
- pre-systolic pulsation over liver
- rumbling mid-diastolic murmur
- tricuspid opening snap
9
Q
where is murmur best heard
A
over lower left sternal edge
10
Q
when is murmur loudest
A
inspiration
11
Q
what murmur
A
mid-diastolic
12
Q
investigation
A
- CXR
- echo
- ECG
13
Q
what is seen on CXR
A
prominent right atrial bulge
14
Q
what is seen on ECG
A
enlarged right atrium
= tall P waves in lead II
15
Q
what is seen on echo
A
thickened and immobile tricuspid valve
16
Q
treatment
A
diuretic therapy and salt restrictions
17
Q
what treatment is often necessary
A
tricuspid valve replacement
18
Q
what else needs replaced
A
other valves as it rarely is an isolated lesion
