TRISCUPID REGURGITATION (INCOMPETENCE) -INSUFFICIENCY 

 
 

Symptoms: Asymptomatic, heart beat heard while lying down, palpitation, exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea
Special signs: Distended neck veins with prominent 'v' waves; large hepatomegaly, ascites, pleural effusions, positive hepatojugular reflux and edema; holosystolic murmur at the left lower sternal border
Special investigations: ECG may show inferior myocardial infarction or it may  be sever right ventricular hypertrophy.

SHORT DESCRIPTION:
Disease may be congenital or caused by rheumatic fever, with a prominent pulmonary hypertension. It may also occur in ischemic hear disease, cor pulmonary or cardiomyopathy. It involves the widening of the tricuspid valve so that blood regurgitates into the right ventricular from the right atrium at atrial systole.

 

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