Pulmonic regurgitation

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Pulmonic regurgitation
ICD-10 I37.1, Q22.2
ICD-9 424.3, 746.09
DiseasesDB 11014
eMedicine med/1964 
MeSH D011665

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

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Synonyms and related terms: Pulmonary Insufficiency, Pulmonary Incompetence, Pulmonary Valve Regurgitation, Pulmonary Regurgitation, Pulmonary Valve Incompetence.

Pulmonary valve insufficiency (or incompetence, or regurgitation) is a condition where the pulmonary valve is not strong enough to prevent backflow into the right ventricle. Nearly all individuals have physiologic (trace-to-mild) pulmonic regurgitation, and the incidence increases with advancing age.

Pathophysiology

Differential diagnosis of underlying causes

Diagnosis

Symptoms | Physical Examination | Electrocardiogram | Chest X-Ray | Echocardiography : M-mode echocardiography, 2-D Echocardiography, Doppler echocardiography | Pulmonary angiography

Treatment

Antibiotic Prophylaxis

Prognosis

Patient survival depends upon the underlying etiology of the pulmonic regurgitation. Among patients with pulmonary hypertension, the severity and duration of the pulmonary hypertension will be determinants of the ultimate prognosis. Patients with congenital absence of the pulmonic valve have severe regurgitation and this may limit their life expectancy if the valve is not replaced. Mild to moderate pulmonic regurgitation is not associated with shortened survival.

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