Document Detail

Rheumatic tricuspid valve disease: an evidence-based systematic overview.
MedLine Citation:
PMID:  20583402     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND AIM OF THE STUDY: Right-sided valve abnormalities are less common than their left-sided counterparts. Furthermore, whilst organic rheumatic involvement of the tricuspid valve is not uncommon, it receives less attention than left-sided heart valves. An evidence-based systematic overview was carried out to assess the epidemiology, diagnosis and management of organic rheumatic tricuspid valve disease (RTVD) over the past half century. METHODS: A computed search spanning more than four decades was conducted to identify articles on various aspects of RTVD. The bibliographies of all relevant articles were also searched. RESULTS: A total of 2,497 rheumatic heart disease patients (mean age 25.5 years; female:male ratio 1.3:1) was included. RTVD was detected in 193 patients (7.7%). Echocardiography was used to detect tricuspid valve involvement in all patients. Associated mitral valve disease was present in 99.3% of the patients with RTVD. A total of 1,092 patients (mean age 45.4 years) was included from six studies on surgical correction of the tricuspid valve. Of these patients, 278 (25.4%) underwent tricuspid valve replacement, while 814 (74.5%) had tricuspid valve repair. The in-hospital mortality was 9.9%, and late mortality 33.2% CONCLUSION: RTVD is not uncommon among patients with rheumatic heart disease, but attracts less attention and might, therefore, be overlooked. Echocardiography is the most common diagnostic tool. Although indications for surgical intervention are not well defined, valve repair may have a better outcome than replacement.
Fateh Ali Tipoo Sultan; Sherif E Moustafa; Jamil Tajik; Tahlil Warsame; Usha Emani; Mohsen Alharthi; Farouk Mookadam
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of heart valve disease     Volume:  19     ISSN:  0966-8519     ISO Abbreviation:  J. Heart Valve Dis.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-06-29     Completed Date:  2010-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312096     Medline TA:  J Heart Valve Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  374-82     Citation Subset:  IM    
Section of Cardiology, Aga Khan University Hospital, Karachi, Pakistan.
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MeSH Terms
Echocardiography, Doppler
Heart Valve Diseases / epidemiology,  surgery*,  ultrasonography
Heart Valve Prosthesis Implantation*
Rheumatic Heart Disease / epidemiology,  surgery*,  ultrasonography
Tricuspid Valve / surgery*

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