TRICUSPID STENOSIS

on 19.9.07 with 0 comments




AETIOLOGY - rheumatic origin (in association with mitral and aortic valve disease; uncommon - <5%>

CLINICAL FEATURES

  • gradually progressive, more common in women

  • symptoms of associated mitral or aortic stenosis;

  • symptoms of right ventricular failure;

  • raised JVP (may be present presystolic hepatic pulsation);

  • mid-diastolic murmur (best heard at the lower left or right sternal edge, increased by inspiration);

  • CXR - enlarged RA;

  • ECHO - dilated RA, fused, thickened tricuspid valve, relativelly smal gradient across the tricuspid valve (5mm)-indicate the significant mitral stenosis

Category: Cardiology Notes

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