Tricuspid regurgitation history and symptoms: Difference between revisions

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==Overview==
==Overview==
The majority of tricuspid regurgitation (TR) are asymptomatic.  Symptoms of TR include clinical manifestations related to right heart failure such as [[peripheral edema]] and [[abdominal distention]].  If [[left heart failure]] or [[pulmonary hypertension]] is the underlying etiology of TR, the patient might have symptoms related to these conditions.
The majority of tricuspid regurgitation (TR) are asymptomatic.  Symptoms of TR include clinical manifestations related to right heart failure such as [[peripheral edema]] and [[abdominal distention]].  If [[left heart failure]] or [[pulmonary hypertension]] is the underlying etiology of TR, the patient might have symptoms related to these conditions.
==History==
==History==
Patients suspected or diagnosed with TR should be inquired about symptoms related to heart failure.  In addition, patients should be asked about symptoms and possible causes of left heart failure and [[pulmonary hypertension]].
When the patient is asked about left heart failure, , it is optimal to obtain details about the following:
When the patient is asked about pulmonary hypertension, it is optimal to obtain details about the following:
* History of exposure to [[cocaine]], [[methamphetamine]], [[alcohol]] leading to [[cirrhosis]], and [[smoking]] leading to [[emphysema]]
* Hepatic disease, [[congenital heart disease]], [[thyroid]] diseases, and diseases that cause [[hypoxia]]
* [[Snoring]] and daytime sleepiness to rule out [[obstructive sleep apnea]] (OSA)
* [[Skin changes]], [[Raynaud's phenomenon]] and [[joint pain]] suggestive of connective tissue disorder
* History of [[deep vein thrombosis]] or [[pulmonary embolism]]
* Over-the-counter medications and herbal supplements as well as illicit drug use
* High risk for [[HIV]] exposure
* Family history of [[pulmonary hypertension]]


==Symptoms==
==Symptoms==
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Symptoms related to pulmonary hypertension:
Symptoms related to pulmonary hypertension:
*[[Dyspnea]]
*[[Fatigue]]
*[[Raynaud's phenomenon]]
*[[Syncope]]
*[[Chest pain]]
*[[Syncope|Near Syncope]]
*[[Palpitation|Palpitations]]
*[[Edema|Leg swelling]]
*[[Cough]] (rare)
*[[Hemoptysis]] (rare)
*[[Hoarseness]] (rare)
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 22:59, 10 September 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

The majority of tricuspid regurgitation (TR) are asymptomatic. Symptoms of TR include clinical manifestations related to right heart failure such as peripheral edema and abdominal distention. If left heart failure or pulmonary hypertension is the underlying etiology of TR, the patient might have symptoms related to these conditions.

History

Patients suspected or diagnosed with TR should be inquired about symptoms related to heart failure. In addition, patients should be asked about symptoms and possible causes of left heart failure and pulmonary hypertension. When the patient is asked about left heart failure, , it is optimal to obtain details about the following:

When the patient is asked about pulmonary hypertension, it is optimal to obtain details about the following:

Symptoms

Symptoms related to right heart failure:

Symptoms related to left heart failure:

Symptoms related to pulmonary hypertension:

References

  1. Bruce CJ, Connolly HM (2009). "Right-sided valve disease deserves a little more respect". Circulation. 119 (20): 2726–34. doi:10.1161/CIRCULATIONAHA.108.776021. PMID 19470901.

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