Tricuspid Regurgitation and the Right Ventricle in Risk Stratification and Timing of Intervention

Overview

Journal Echo Res Pract

Date 2019 Feb 15

PMID 30763278

Citations 17

Authors

Bushra S Rana

Shaun Robinson

Rajeevan Francis

Mark Toshner

Martin J Swaans

Sharad Agarwal

Ravi De Silva

Amer A Rana

Petros Nihoyannopoulos

Affiliations

Soon will be listed here.

Abstract

Tricuspid regurgitation natural history and treatment remains poorly understood. Right ventricular function is a key factor in determining prognosis, timing for intervention and longer-term outcome. The right ventricle is a thin walled chamber with a predominance of longitudinal fibres and a shared ventricular septum. In health, the low-pressure pulmonary circulation results in a highly compliant RV well equipped to respond to changes in preload but sensitive to even small alterations in afterload. In Part 1 of this article, discussion focuses on key principles of ventricular function assessment and the importance of right ventricular chamber size, volumes and ejection fraction, particularly in risk stratification in tricuspid regurgitation. Part 2 of this article provides an understanding of the causes of tricuspid regurgitation in the contemporary era, with emphasis on key patient groups and their management.

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