Tricuspid Valve Disease Flashcards
1
Q
Identify the main cause of tricuspid stenosis
A
- Rheumatic heart disease
2
Q
Identify three clinical features of tricuspid stenosis
A
- Dyspnoea
- Exercise intolerance
- Hepatomegaly
- Ascites
3
Q
What is heard on auscultation in tricuspid stenosis?
A
- Mid-diastolic murmur heard over left sternal edge in inspiration
4
Q
What is seen on CXR?
A
- Right atrial enlargement
5
Q
What is seen on ECG?
A
- Tall P waves in lead II
6
Q
What is seen on transthoracic echocardiogram?
A
- Thickened and immobile tricuspid cusps.
7
Q
Identify two differentials of tricuspid stensosis
A
- Constrictive pericarditis
- Restrictive cardiomyopathy
8
Q
Identify two first line treatments for mitral stenosis
A
- Loop diuretic (furosemide)
- Somatostatin analogue (octreotide)
- Salt restriction
9
Q
When is tricuspid valve replacement offered in tricuspid stenosis?
A
- Symptoms are not relived by loop diuretics, somatostatin analogues, or salt restriction
10
Q
Identify two risk factors for tricuspid regurgitation
A
- Rheumatic heart disease
- Infective endocarditis
- Carcinoid syndrome
- Ebstein’s anamoly
11
Q
Identify two clinical features of tricuspid regurgitation
A
- Fatigue
- Exercise tolerance
- Dyspnoea
- Palpitations
- Hepatomegaly
- Pulsatile liver
12
Q
What is heard on auscultation in tricuspid regurgitation?
A
- Pansystolic murmur heart best over left sternal edge
13
Q
What is seen on ECG in TTE?
A
- Right ventricular dilatation
- Thickened valve leaflets if rheumatic disease
- Vegetations if endocarditis
- Enlargement of left atrium in Ebstein’s anomaly
14
Q
Outline the treatment for tricuspid stenosis
A
- Treat underlying condition
- Heart failure management (diuretics and vasodilator therapy)
- Tricuspid valve replacement
