Contemporary management of tricuspid regurgitation

An updated clinical review

Joshua T. Taylor, Geoffrey Chidsey, Thomas G. Disalvo, John G. Byrne, Simon Maltais

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Tricuspid regurgitation (TR) is a complex and insidious valvular pathology that represents a complex decision and management algorithm for patients. TR is present in a significant proportion of the population and is especially prevalent in patients with advanced heart failure. Patients with TR have been demonstrated to have a decreased survival even with normal left heart function. TR can be a result of pathology that directly affects the valvular structure (ie, Ebstein anomaly) or as a result of increased forward pressures (ie, pulmonary hypertension, left heart failure). Conservative management of patients with TR is primarily symptomatic relief. Definitive therapy involves surgical repair of the tricuspid valve. Furthermore, as more patients develop advanced heart failure, the management of TR in patients with left ventricular assist devices has become necessary because of the evidence of increased in-hospital morbidity and a trend toward decreased survival.

Original languageEnglish (US)
Pages (from-to)174-183
Number of pages10
JournalCardiology in Review
Volume21
Issue number4
DOIs
StatePublished - Jul 1 2013
Externally publishedYes

Fingerprint

Tricuspid Valve Insufficiency
Heart Failure
Ebstein Anomaly
Pathology
Heart-Assist Devices
Tricuspid Valve
Survival
Pulmonary Hypertension
Morbidity
Pressure
Population

Keywords

  • management
  • tricuspid regurgitation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Contemporary management of tricuspid regurgitation : An updated clinical review. / Taylor, Joshua T.; Chidsey, Geoffrey; Disalvo, Thomas G.; Byrne, John G.; Maltais, Simon.

In: Cardiology in Review, Vol. 21, No. 4, 01.07.2013, p. 174-183.

Research output: Contribution to journalReview article

Taylor, Joshua T. ; Chidsey, Geoffrey ; Disalvo, Thomas G. ; Byrne, John G. ; Maltais, Simon. / Contemporary management of tricuspid regurgitation : An updated clinical review. In: Cardiology in Review. 2013 ; Vol. 21, No. 4. pp. 174-183.
@article{ee3683a3043c4375a584cdd0f223e0ed,
title = "Contemporary management of tricuspid regurgitation: An updated clinical review",
abstract = "Tricuspid regurgitation (TR) is a complex and insidious valvular pathology that represents a complex decision and management algorithm for patients. TR is present in a significant proportion of the population and is especially prevalent in patients with advanced heart failure. Patients with TR have been demonstrated to have a decreased survival even with normal left heart function. TR can be a result of pathology that directly affects the valvular structure (ie, Ebstein anomaly) or as a result of increased forward pressures (ie, pulmonary hypertension, left heart failure). Conservative management of patients with TR is primarily symptomatic relief. Definitive therapy involves surgical repair of the tricuspid valve. Furthermore, as more patients develop advanced heart failure, the management of TR in patients with left ventricular assist devices has become necessary because of the evidence of increased in-hospital morbidity and a trend toward decreased survival.",
keywords = "management, tricuspid regurgitation",
author = "Taylor, {Joshua T.} and Geoffrey Chidsey and Disalvo, {Thomas G.} and Byrne, {John G.} and Simon Maltais",
year = "2013",
month = "7",
day = "1",
doi = "10.1097/CRD.0b013e3182880751",
language = "English (US)",
volume = "21",
pages = "174--183",
journal = "Cardiology in Review",
issn = "1061-5377",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Contemporary management of tricuspid regurgitation

T2 - An updated clinical review

AU - Taylor, Joshua T.

AU - Chidsey, Geoffrey

AU - Disalvo, Thomas G.

AU - Byrne, John G.

AU - Maltais, Simon

PY - 2013/7/1

Y1 - 2013/7/1

N2 - Tricuspid regurgitation (TR) is a complex and insidious valvular pathology that represents a complex decision and management algorithm for patients. TR is present in a significant proportion of the population and is especially prevalent in patients with advanced heart failure. Patients with TR have been demonstrated to have a decreased survival even with normal left heart function. TR can be a result of pathology that directly affects the valvular structure (ie, Ebstein anomaly) or as a result of increased forward pressures (ie, pulmonary hypertension, left heart failure). Conservative management of patients with TR is primarily symptomatic relief. Definitive therapy involves surgical repair of the tricuspid valve. Furthermore, as more patients develop advanced heart failure, the management of TR in patients with left ventricular assist devices has become necessary because of the evidence of increased in-hospital morbidity and a trend toward decreased survival.

AB - Tricuspid regurgitation (TR) is a complex and insidious valvular pathology that represents a complex decision and management algorithm for patients. TR is present in a significant proportion of the population and is especially prevalent in patients with advanced heart failure. Patients with TR have been demonstrated to have a decreased survival even with normal left heart function. TR can be a result of pathology that directly affects the valvular structure (ie, Ebstein anomaly) or as a result of increased forward pressures (ie, pulmonary hypertension, left heart failure). Conservative management of patients with TR is primarily symptomatic relief. Definitive therapy involves surgical repair of the tricuspid valve. Furthermore, as more patients develop advanced heart failure, the management of TR in patients with left ventricular assist devices has become necessary because of the evidence of increased in-hospital morbidity and a trend toward decreased survival.

KW - management

KW - tricuspid regurgitation

UR - http://www.scopus.com/inward/record.url?scp=84880132064&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880132064&partnerID=8YFLogxK

U2 - 10.1097/CRD.0b013e3182880751

DO - 10.1097/CRD.0b013e3182880751

M3 - Review article

VL - 21

SP - 174

EP - 183

JO - Cardiology in Review

JF - Cardiology in Review

SN - 1061-5377

IS - 4

ER -