AETIOLOGY OF TRICUSPID REGURGITATION

Rehan Ahmad, Haq Nawaz, Hassan Shahzad Nazar, Sarfraz Ahmad, Aftab Rabbani, Basharat Ahmed

Abstract


Background: Tricuspid regurgitation (TR) is regarded as a secondary disorder. Aim of the study was
to know what percentage is secondary to heart and lung disease and its prevalence in normal adults.
Methods: Two hundred and 30 adults with clinically detectable TR were studied clinically to know the
cause of TR. Results: Thirteen percent of the adults were normal without any detectable cause for TR.
In others, 24% of TR cases were secondary to ischemic heart disease (IHD) and hypertension was
found in 14% cases. Sixteen percent had rheumatic heart disease (RHD) while chronic obstructive lung
disease was found in 23% cases. The rest of 10% cases of TR had cardiomyopathy (CMP) and
congenital heart disease as secondary causes. Conclusion: Ischemic heart disease, COPD and
hypertension are common causes of TR. Others include RHD, CMP and congenital heart disease.
Thirteen percent of apparently normal adults had TR.
Keywords: Tricuspid regurgitation, IHD, Hypertension, COPD

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References


Karius KB, Klaster EF, Bristol JD, Lees MH, Griswold HE.

Problems in hemodynamic diagnosis of Tricuspid Insuffiency.

Am Hear J 1988;75:173–9.

Hansung CE, Rowe GG. Tricuspid incompetence- A study of

hemodynamics and pathogenesis. Circulation 1972;45:793–9.

Shah PM. Tricuspid valve, prosthetic valve and multi-valvular

heart disease. In Hurst`s The Heart, 12th edition New York:

McGraw Hill; 2008. p. 1770–80.

Waller BF, Moriarty AT, Eble JN, Daavey DM, Hawely DA,

Pless JE. Etiology of tricuspid regurgitation based on annular

circumference leaflet area in analysis of 45 necropsy patients with

clinical and morphological evidence of pure Tricuspid

regurgitation. J Am Coll Cardiol 1986;7:1063–72.

Gordon A Ewy. Tricuspid Valve disease. In: Alpert JS, Dalen JE,

Rahimtoola SH (eds). Valvular heart disease. 3rd edition

Philedelphia: Lippincott Williams & Wilkins 2000.p 377–89.

Muller O, Shillingford J. Tricuspid Incompetence. Br Heart J

;16(2):195–207.

Tei C, Shah PM, Cherian G, Trim PA, Wong M, Ormiston JA.

Echocardiographic evaluation of normal and prolapsed tricuspid

valve leaflets. Am J Cardiol 1983;52:796–800.

Feigenbaum H, Armstrong WF, Ryan T. Tricuspid and pulmonary

valve. In: Feigenbaum’s Echocardiography, 7th edition.

Philadelphia: Lippincott Willium & Wilkins 2008:346–68.

Cha SD, Gooch A. Diagnosis of tricuspid regurgitation. Current

status. Arch Intern Med 1983;143:1763–8.

Bonow RO, Carabello BA, Kanu C, de Leon AC Jr, Faxon

DP, Freed MD, et al. ACC/AHA Task force on practical

guidelines. ACC/AHA 2006 guidelines for the management of

patients with valvular heart disease: a report of the American

College of Cardiology/American Heart Association Task Force on

Practice Guidelines (writing committee to revise the 1998

Guidelines for the Management of Patients With Valvular Heart

Disease): developed in collaboration with the Society of

Cardiovascular Anesthesiologists: endorsed by the Society for

Cardiovascular Angiography and Interventions and the Society of

Thoracic Surgeons. Circulation 2006;114(5):e84–231.

Yoshida K, Yoshikawa J, Shakudo M, Akasaka T, Jyo Y, Takao

S, et al. Color Doppler evaluation of valvular regurgitation in

normal subjects. Circulation 1988;78(4):840–7.

Keller CA, Shepard JW Jr, Chun DS, Vasquez P, Dolan GF.

Pulmonary hypertension in chronic obstructive pulmonary disease.

Multivariate analysis. Chest 1986;90(2):185–92.

Irwin RB, Luckie M, Khattar RS. Tricuspid regurgitation:

contemporary management of a neglected valvular lesion.

Postgrad Med J 2010;86(1021):648–55.

Sagie A, Sshwammenthal E, Newell JB, Harrell L, Joziatis

TB, Weyman AE, et al. Significant Tricuspid regurgitation is a

marker for adverse outcome in-patients undergoing percutaneous

balloon mitral valvuloplasty. J Am Coll Cardiol 1994;24:696–702.

Missri J, Agnarsson U, Sverrisson J. The clinical spectrum of

tricuspid regurgitation detected by pulsed Doppler

echocardiography. Angiology 1985;36(10):746–53.

Behm CZ, Nath J, Foster E. Clinical correlates and mortality of

hemodynamically significant tricuspid regurgitation. J Heart Valve

Dis 2004;13(5):784–9.


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