Tricuspid regurgitation stages: Difference between revisions

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Secondary TR <br>
Secondary TR <br>
* No abnomrla findings
* No abnomrla findings
* Beginning of annular dilation || Absent || Absent || Absent
* Beginning of annular dilation
| Absent
| Absent
| Absent
|-
|-
| B || Progressive || Primary
| B || Progressive || Primary
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Secondary
Secondary
* Beginning of annular dilation
* Beginning of annular dilation
* Moderate leaflet tethering || Mild TR
* Moderate leaflet tethering  
| Mild TR
* Central jet area <5.0 cm2
* Central jet area <5.0 cm2
* Undefined width of vena contracta
* Undefined width of vena contracta
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* Undefined width of vena contracta width but <0.70 cm
* Undefined width of vena contracta width but <0.70 cm
* Dense, variable CW jet density and contour
* Dense, variable CW jet density and contour
* Systolic blunting of hepatic vein flow || Mild TR
* Systolic blunting of hepatic vein flow
| Mild TR
* Normal size of RV/RA/IVC
* Normal size of RV/RA/IVC
Moderate TR
Moderate TR
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* Absent or mild RA enlargement
* Absent or mild RA enlargement
* Absent or mild IVC enlargement with normal respirophasic variation
* Absent or mild IVC enlargement with normal respirophasic variation
* Normal RA pressure || None
* Normal RA pressure
| None
|}
|}



Revision as of 13:45, 12 September 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Tricuspid Regurgitation Microchapters

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Overview

Stages

Stage Definition Anatomy of the valve Hemodynamics of the valve Hemodynamic changes Symptoms
A At risk Primary TR
  • Mild rheumatic change
  • Mild prolapse
  • Findings related to other conditions (IE, carcinoid, radiation)
  • Presnece of an intra-annular RV pacemaker or ICD lead
  • Cardiac transplant (biopsy related)

Secondary TR

  • No abnomrla findings
  • Beginning of annular dilation
Absent Absent Absent
B Progressive Primary
  • Progressive leaflet deterioration/destruction
  • Moderate-to-severe prolapse and limited chordal rupture

Secondary

  • Beginning of annular dilation
  • Moderate leaflet tethering
Mild TR
  • Central jet area <5.0 cm2
  • Undefined width of vena contracta
  • Soft and parabolic CW jet density and contour
  • Systolic dominance of hepatic vein flow

Moderate TR

  • Central jet area 5–10 cm2
  • Undefined width of vena contracta width but <0.70 cm
  • Dense, variable CW jet density and contour
  • Systolic blunting of hepatic vein flow
Mild TR
  • Normal size of RV/RA/IVC

Moderate TR

  • Absence of RV enlargement
  • Absent or mild RA enlargement
  • Absent or mild IVC enlargement with normal respirophasic variation
  • Normal RA pressure
None

References

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