Tricuspid regurgitation and the right ventricle in risk stratification and timing of intervention

Bushra S. Rana, Shaun Robinson, Rajeevan Francis, Mark Toshner, Martin J. Swaans, Sharad Agarwal, Ravi De Silva, Amer A. Rana, Petros Nihoyannopoulos

Research output: Contribution to journalReview articlepeer-review

17 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)R25-R39
JournalEcho Research and Practice
Volume6
Issue number1
DOIs
Publication statusPublished - Mar 2019

Keywords

  • Pulmonary hypertension
  • Right ventricle
  • Tricuspid regurgitation

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