Tricuspid Regurgitation Flashcards Preview

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Flashcards in Tricuspid Regurgitation Deck (6)
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1

What is the pathology of tricuspid regurgitation.

Usually functional.
Due to dilatation of the tricuspid annulus following right ventricular dilatation.

2

What are the causes of tricuspid regurgitation. (8)

Functional (RV dilatation).
Rheumatic fever.
Tricuspid valve endocarditis.
Carcinoid syndrome.
Trauma.
Congenital (Ebstein's anomaly, ASD).
Drugs (ergot derives dopamine agonists).
Endomyocardial fibrosis.

3

What are some functional causes of tricuspid regurgitation. (3)

RV dilatation due to pulmonary hypertension (from LV failure).
Congestive cardiac failure.
Cardiomyopathy.

4

What are the symptoms of tricuspid regurgitation due to.

The clinical features are due to venous congestion and reduced cardiac output.

5

What are the physical signs of tricuspid regurgitation. (9)

Raised JVP with prominent v waves.
Pansystolic murmur heard best at the left lower sternal edge in inspiration.
Pulsatile hepatomegaly.
Jaundice.
Ascites.
RV heave.
Peripheral oedema.
Ascites.
Dyspnoea.

6

What are the symptoms of tricuspid regurgitation. (6)

Fatigue.
Hepatic pain on exertion.
Ascites.
Oedema.
Dyspnoea and orthopnoea if the cause is LV dysfunction.