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  • Tricuspid Regurgitation (TR)

    Загружено:

    rameshbmc
    861 просмотров7 страниц
    Tricuspid regurgitation is usually functional but can be organic due to conditions like rheumatic heart disease, infective endocarditis, congenital defects, or trauma. It is considered organic if accompanied by tricuspid stenosis. Diagnosis involves listening for murmurs and enlarged neck veins, with imaging like echocardiography used to assess the severity of valve abnormalities and dilation of the right ventricle and tricuspid ring. Treatment focuses on resolving the underlying cause if present or surgically repairing or replacing the valve for severe cases.

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    TRICUSPID REGURGITATION ( TR).ppt

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    Tricuspid regurgitation is usually functional but can be organic due to conditions like rheumatic heart disease, infective endocarditis, congenital defects, or trauma. It is considered organic if accompanied by tricuspid stenosis. Diagnosis involves listening for murmurs and enlarged neck veins, with imaging like echocardiography used to assess the severity of valve abnormalities and dilation of the right ventricle and tricuspid ring. Treatment focuses on resolving the underlying cause if present or surgically repairing or replacing the valve for severe cases.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PPT, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    861 просмотров7 страниц

    Tricuspid Regurgitation (TR)

    Загружено:

    rameshbmc
    Tricuspid regurgitation is usually functional but can be organic due to conditions like rheumatic heart disease, infective endocarditis, congenital defects, or trauma. It is considered organic if accompanied by tricuspid stenosis. Diagnosis involves listening for murmurs and enlarged neck veins, with imaging like echocardiography used to assess the severity of valve abnormalities and dilation of the right ventricle and tricuspid ring. Treatment focuses on resolving the underlying cause if present or surgically repairing or replacing the valve for severe cases.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PPT, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 7

    Etiology

    Usually functional

    Organic in
    - RHD ( with TS)
    - IE ( drug addicts)
    - congenital
    - Ebsteins anamoly
    - carcinoid syndrome
    - trauma
    In presence of TS , TR is organic
    TR alone is mostly functional
    Dilatation of RV / tricuspid valve ring
    seen in CCF/RHF/PH/ cor pulmonale
    Infarction of papillary muscles
    Tricuspid valve prolapse
    H/o weakness, fatigue (decrease CO)

    Throbbing pulsations neck (increase


    JVP)

    Increased JVP- prominent v waves

    Features of RHF & pulsatile liver


    RV apex beat (hyperdynamic) & RV S3

    PSM high pitched at TA, increase on


    inspiration

    Usually has atrial fibrillation


    Chest X ray: cardiomegaly (RA & RV type)

    ECG : RVH, RAD, RBBB

    ECHO : RV dilatation
    tricuspid valve abnormalities
    tricuspid valve prolapse
    cardiac function / EF

    Doppler ECHO : regurgitation vol/ severity


    Isolated TR without PH well tolerated

    TR secondary to PH & MS, MR


    treat the cause MS, MR, etc

    Treat CCF efficiently

    Surgery (rare) tricuspid annuloplasty


    - valve replacement

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