Tricuspid regurgitation stages: Difference between revisions
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Rim Halaby (talk | contribs) (→Stages) |
Rim Halaby (talk | contribs) (→Stages) |
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* Normal RA pressure | * Normal RA pressure | ||
| None | | None | ||
|- | |||
| C || Asymptomatic severe || Primary | |||
* Flail or grossly distorted leaflets | |||
Secondary | |||
* Severe annular dilation (>40 mm or 21 mm/m2) | |||
* Marked leaflet tethering | |||
| * Central jet area >10.0 cm2 | |||
* Vena contracta width >0.7 cm | |||
* Dense, triangular CW jet density and contour with early peak | |||
* Systolic reversal in hepatic vein flow | |||
|* Dilated RV/RA/IVC and decreased IVC respirophasic variation | |||
* Increased RA pressure with “c-V” wave | |||
* Possible diastolic interventricular septal flattening | |||
| None | |||
|- | |||
| D || Symptomatic severe || Primary | |||
* Flail or grossly distorted leaflets | |||
Secondary | |||
* Severe annular dilation (>40 mm or 21 mm/m2) | |||
* Marked leaflet tethering | |||
| * Central jet area >10.0 cm2 | |||
* Vena contracta width >0.7 cm | |||
* Dense, triangular CW jet density and contour with early peak | |||
* Systolic reversal in hepatic vein flow | |||
|* Dilated RV/RA/IVC and decreased IVC respirophasic variation | |||
* Increased RA pressure with “c-V” wave | |||
* Possible diastolic interventricular septal flattening | |||
| Presence of symptoms (fatigue, dyspnea, anorexia, edema, abdominal distention, palpitations) | |||
|- | |||
|} | |} | ||
Revision as of 13:53, 12 September 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Tricuspid Regurgitation Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Tricuspid regurgitation stages On the Web |
American Roentgen Ray Society Images of Tricuspid regurgitation stages |
Risk calculators and risk factors for Tricuspid regurgitation stages |
Overview
Stages
Stage | Definition | Anatomy of the valve | Hemodynamics of the valve | Hemodynamic changes | Symptoms |
A | At risk | Primary TR
Secondary TR
|
Absent | Absent | Absent |
B | Progressive | Primary
Secondary
|
Mild TR
Moderate TR
|
Mild TR
Moderate TR
|
None |
C | Asymptomatic severe | Primary
Secondary
|
* Central jet area >10.0 cm2
|
* Dilated RV/RA/IVC and decreased IVC respirophasic variation
|
None |
D | Symptomatic severe | Primary
Secondary
|
* Central jet area >10.0 cm2
|
* Dilated RV/RA/IVC and decreased IVC respirophasic variation
|
Presence of symptoms (fatigue, dyspnea, anorexia, edema, abdominal distention, palpitations) |