Tricuspid Regurge
§ Causes
§ Rt. V. ++ (functional)
§ Rheumatic.
§ Endocarditis esp in I.V. drug abusers (staph)
§ Ebstein’s anomally

§ Neck veins congested – cyanoicterus
§ Ascites precox - +ve hepatojugular reflux

§ O/E
§ Pansystolic murmur left to the xiphisternum. It increase in intensity with inspiration

§ Tretment
§ ttt of the underlying cause reduce the severity to T.R.
§ tricuspid valve annuloplasty if sever functional T.R., it can be done for example during mitral V.R.
§ V.R. for organic T.R.



Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)