Document Detail


The clinical spectrum of tricuspid regurgitation detected by pulsed Doppler echocardiography.
MedLine Citation:
PMID:  3904535     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical diagnosis of tricuspid regurgitation (TR) is often difficult. Two-dimensional pulsed Doppler echocardiography offers a sensitive and specific method for detecting and semi-quantitating tricuspid regurgitation. The clinical, radiographic, radionuclide, echocardiographic, and when available, the right cardiac catheterization findings were evaluated in 36 patients with a diagnosis of tricuspid regurgitation by pulsed Doppler. Ten healthy subjects served as controls. The underlying cardiac cause was rheumatic heart disease in 7 (20%), ischemic heart disease in 12 (33%), dilated cardiomyopathy in 5 (14%), hypertensive heart disease in 2 (5%), aortic valve stenosis and/or regurgitation in 3 (8%), mitral valve prolapse with mitral regurgitation in 1 (3%), and congenital heart disease in 6 (17%). Seven patients (19%) had a temporary or permanent transvenous right ventricular pacing wire. A systolic murmur was heard in 29 patients (81%) with 16 (46%) having an elevated jugular venous pressure. Tricuspid regurgitation was clinically suspected in only 2 patients (6%). Isolated tricuspid regurgitation was uncommon, seen in 6 patients (17%), and usually secondary to congenital heart disease, ischemic heart disease, with the use of a transvenous pacing wire and following mitral valve replacement. Right cardiac catheterization was performed in 10 patients, of which 7 demonstrated elevated right atrial and pulmonary artery pressure. Pulsed Doppler echocardiography offers a practical and accurate method of detecting and evaluating the severity of tricuspid regurgitation. Tricuspid regurgitation is generally a functional disorder, and frequently occurs in association with left sided valvular heart disease, cardiomyopathy or congenital heart disease.
Authors:
J Missri; U Agnarsson; J Sverrisson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  36     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1985 Oct 
Date Detail:
Created Date:  1985-11-29     Completed Date:  1985-11-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  746-53     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Echocardiography / methods*
Female
Humans
Male
Middle Aged
Tricuspid Valve Insufficiency / diagnosis*,  radiography,  radionuclide imaging
Ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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