1. THE MERCK MANUAL, Sec. 16, Ch. 207, Valvular Heart Disease Description of tricuspid regurgitation and stenosis. Symptoms, signs, diagnosis and treatment are Category Health Conditions and Diseases tricuspid valve disease...... tricuspid valve disease. click here for navigation help. tricuspid valve disease.TRICUSPID REGURGITATION (Tricuspid Incompetence or Insufficiency). http://www.merck.com/pubs/mmanual/section16/chapter207/207d.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 16. Cardiovascular Disorders Chapter 207. Valvular Heart Disease Topics [General] Mitral Valve Disease Aortic Valve Disease Tricuspid Valve Disease Tricuspid Valve Disease TRICUSPID REGURGITATION (Tricuspid Incompetence or Insufficiency) Retrograde flow of blood from right ventricle to right atrium due to inadequate apposition of the tricuspid valves. Symptoms, Signs, and Diagnosis In addition to low output symptoms (eg, fatigue, cold skin, dyspnea, edema), the only specific symptom of severe TR is the sensation of pulsations in the neck due to the high jugular regurgitant (CV) waves from the transmitted RV pressure. Right upper quadrant abdominal discomfort due to hepatic congestion may occur. Atrial fibrillation or flutter, which usually occurs when the right atrium enlarges, further decreases the CO and may precipitate sudden, severe heart failure. The jugulars may have various degrees of v wave and y descent, depending on the degree of TR, which is associated with various degrees of systolic pulsation of the liver synchronous with the v waves. With gross TR, there is often a systolic murmur and thrill over the right jugular. A pansystolic TR murmur may be high-pitched if trivial and secondary to pulmonary hypertension, or of medium frequency if rather gross and primary. It often increases on inspiration (Carvallo's sign). Usually, it is best heard at the 4th and 5th intercostal spaces close to the sternum or in the epigastrium, but it is loudest at the apex if the RV usurps that area and over the free edge of the liver if secondary to cor pulmonale from emphysema.

2. Tricuspid Valve Disease Text tricuspid valve disease. View TSDA Curriculum Online for this topic http://www.ctsnet.org/doc/4471

Tricuspid Valve Disease View TSDA Curriculum Online for this topic 1. Pathology Congenital AV canal VSD Ebstein's Myxoma 2. Acquired Structural Functional Rheumatic disease Endocarditis Carcinoid Cor-pulmonale Inferior MI Left-sided lesion Tricuspid Valve 3. Normal Anatomy Septal, posterior and anterior leflets Annulus- sphincter-like function Septal annulus- fixed Dilatation only in anterior and posterior annulus 4. Functional Incompetence of the Tricuspid Valve Most common form of tricuspid dysfunction No leaflet or subvalvular abnormality RV dilatation (secondary to L lesion) RV volume overload Pulmonary hypertension- "Pop-Off" safety feature 5. Rheumatic disease Functional TR due to L-sided lesion Structural- never isolated Stenosis- rare Mixed- stenosis/regurgitation Most common cause for tricuspid replacement 6. Endocarditis Usually IV drug abusers Pseudomonas/ Staph. Aureus Gram negatives, fungal TR, septic pulmonary emboli Antibiotics highly successful 7. Clinical Tricuspid stenosis Prominent jugular "a-wave" or atrial fibrillation +/- systolic murmur Enlarged liver Right atrial enlargement Cath >4mm enlargement 8. Clinical Tricuspid regurgitation

3. SmartEngine - SmartGuide ( DISEASE : Tricuspid Valve Disease ) All about DISEASE tricuspid valve disease from SmartEngine.com Search For . DISEASE tricuspid valve disease. Categories (1-2 of 2) http://disease.smartengine.com/shell/smartpage/Tricuspid_Valve_Disease

SmartGuide Web Auctions DISEASE : Tricuspid Valve Disease Categories (1-2 of 2) Health: Conditions_and_Diseases: Cardiovascular_Disorders: Heart_Disease: Valvular: Tricuspid_Valve_Disease Health: Conditions_and_Diseases: Cardiovascular_Disorders: Heart_Disease: Valvular Web Pages Inova Heart Center An article about tricuspid valve disease as well as stenosis and regurgitation. Health: Conditions and Diseases: Cardiovascular Disorders: Heart Disease: Valvular: Tricuspid Valve Disease Texas Medical Center: Types of Valve Disease A look at both stenosis and regurgitation of mitral valves, aortic valves, tricuspid valves and pulmonary valves. For each one causes, symptoms and signs are looked at. - http://www.tmc.edu/thi/valvedis.html Health: Conditions and Diseases: Cardiovascular Disorders: Heart Disease: Valvular About Us Contact Us Our Partners ... Help

4. Tricuspid Valve Disease Resources On The Internet millions of published articles for news on tricuspid valve disease. The eLibrary newspaper and magazine archive contains http://www.healthcyclopedia.com/tricuspid_valve_disease.html

Home Health Conditions by Category ... Contact Us Tricuspid Valve Disease Health News Search millions of published articles for news on Tricuspid Valve Disease The eLibrary newspaper and magazine archive contains articles from current and back issues of hundreds of publications, including: Modern Medicine Aging The Ardell Wellness Report HealthFacts The Journal of Environmental Health Medical Post Medical Update Men's Health and the National Women's Health Report Note: To access the full text of articles, sign up for a seven-day no-risk free trial subscription to eLibrary. Web Directory Web Links: Adam.com - A look at tricuspid regurgitation and its alternative name, as well as the causes and risk factors. iafrica.com A Question and Answer - A look at tricuspid valve damage, the causes, complications, symptoms and treatment. Inova Heart Center - An article about tricuspid valve disease as well as stenosis and regurgitation. The Merck Manual - Description of tricuspid regurgitation and stenosis. Symptoms, signs, diagnosis and treatment are discussed for both. Tricuspid and Pulmonary Valve Problems - An explanation of the valves, the symptoms, causes and diagnosis are mentioned as well as a discussion about stenosis and regurgitation.

5. CHOICE For Inova Health Services - /choice/inova/mainpage An article about tricuspid valve disease as well as stenosis and regurgitation. http://community.healthgate.com/getcontent.asp?siteid=inova&docid=/dci/tricu

6. THE MERCK MANUAL, Sec. 16, Ch. 207, Valvular Heart Disease Chapter 207. Valvular Heart Disease. Topics. General. Mitral Valve Disease. AorticValve Disease. tricuspid valve disease. click here for navigation help. General. http://www.merck.com/pubs/mmanual/section16/chapter207/207a.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 16. Cardiovascular Disorders Chapter 207. Valvular Heart Disease Topics [General] Mitral Valve Disease Aortic Valve Disease Tricuspid Valve Disease [General] (For discussion of pulmonic valve disease and other congenital cardiac abnormalities, see Congenital Heart Disease in Ch. 261.)

7. CTSN--Tricuspid Valve Disease http://www.ctsnet.org/doc/5966

Back to CTSN Home Page Last revised 07/08/2000 http://www.ctsnet.org/residents/ctsn/ Comments to John Doty Last revised Sep-21-2001 Revised by Stephen H. McKellar

8. CHOICE For Inova Health Services - Tricuspid Valve Disease Health and wellness services, medical information, and interactive health features for our user community. http://community.healthgate.com/getcontent.asp?siteid=inova&docid=/dci/tricuspid

9. Pediatric Cardiology: Tricuspid Valve Disease tricuspid valve disease. Chest Radiograph Ebsteins Anomaly, infant;Ebsteins Anomaly, child Diagrams Ebsteins Anomaly; Tricuspid http://www.kumc.edu/kumcpeds/cardiology/tricuspidvalvedfct.html

Tricuspid Valve Disease Chest Radiograph: Ebsteins Anomaly, infant Ebsteins Anomaly, child Diagrams: Ebsteins Anomaly Tricuspid Atresia Auscultation areas Cardiac cycle Echocardiogram (video): Normal heart, aortic arch Normal heart, branch pulmonary arteries Normal heart, long axis, (with labeled frame) Normal heart, long axis #2 ... Tricuspid atresia Echocardiogram (still frame): 4 chamber view, normal (4c) 4 chamber view 1, normal (4c invert) 4 chamber view 2, normal (4c invert) Mitral valve, normal (pssa) ... Echo diagram, suprasternal notch Electrocardiogram: Ebstein's. post-operative, adolescent Normal, #1, child Normal, #2, child Tricuspid atresia, infant ... Return to the defect index page

10. Rural Nurse Organization Clinic Digital Library Clinical Resources by Topic Cardiovascular Disorders tricuspid valve disease Clinical Resources Pediatrics Geriatrics Pathology Clinical Guidelines Clinical Trials News Miscellaneous Resources See also Congenital Heart Disease Clinical http://ruralnurseorganization-dl.slis.ua.edu/clinical/cardiology/valvular/tricus

Clinical Resources by Topic: Cardiovascular Disorders Tricuspid Valve Disease Clinical Resources Pediatrics Geriatrics Pathology Clinical Guidelines ... Miscellaneous Resources See also: Congenital Heart Disease Clinical Resources Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Tricuspid Valve Disease Patient/Family Resources Chapter 234: Congenital Heart Disease in the Adult: Table of contents Introduction: Access document Etiology and Prevention: Access document Pathophysiology: Access document Infective Endocarditis: Access document Exercise: Access document Insurability and Employability: Access document Specific Cardiac Defects: Access document Cyanotic Congenital Heart Disease with Decreased Pulmonary Blood Flow: Access document Tricuspid Atresia: Access document Ebstein's Anomaly: Access document Chapter 236: Valvular Heart Disease: Table of contents Introduction: Access document Tricuspid Stenosis: Access document Introduction: Access document Pathophysiology: Access document Symptoms: Access document Physical Findings: Access document Laboratory Examination: Access document Treatment: Access document Tricuspid Regurgitation: Access document Introduction: Access document Treatment: Access document Valve Replacement: Access document The Merck Manual 17th Ed.-1999:

11. Pediatric Cardiology: Defects Tetralogy of Fallot; Transposition of the great vessels; Tricuspid atresia;tricuspid valve disease; Truncus arteriosus; Ventricular septal defects http://www.kumc.edu/kumcpeds/cardiology/chdefect.html

Congenital Heart Defects Teaching Resources organized for the following defects: Anomalous pulmonary venous drainage Aortic arch anomalies Aortic valve disease Aquired disorders ... Return to KUMC Pediatric Cardiology Page

12. Tricuspid Valve Disease First Previous Next Last Index Home Text, Slide 51 of 99. http://www.health.ufl.edu/anires/Models/sld051.htm

13. Arkansas Pine Bluff Digital Library Patient/Family Resources by Topic Cardiovascular Disorders tricuspid valve disease Patient/Family Resources Spanish Miscellaneous See also Congenital Heart Disease Patient/Family Resources General Cardiovascular Disorders Patient/Family http://ahecpinebluff-dl.slis.ua.edu/patientinfo/cardiology/valvular/tricuspidval

Patient/Family Resources by Topic: Cardiovascular Disorders Tricuspid Valve Disease Patient/Family Resources Spanish Miscellaneous See also: Congenital Heart Disease Patient/Family Resources General Cardiovascular Disorders Patient/Family Resources Tricuspid Valve Disease Clinical Resources American Heart Association: Homepage Heart and Stroke A-Z Guide: Table of contents Congenital Heart Disease: Access document MEDLINE plus Medical Encyclopedia: Table of contents Tricuspid Regurgitation: English Spanish Tricuspid Atresia: English Spanish Merck Manual Home Edition Table of contents Chapter 19. Heart Valve Disorders: Access document Complete Home Medical Guide: Table of contents Heart and Blood Vessel Diseases: Table of contents Types of Cardiovascular Disease: Access document Heart Valve Disease: Access document Spanish MEDLINE plus Medical Encyclopedia: Table of contents Tricuspid Regurgitation: English Spanish Tricuspid Atresia: English Spanish Miscellaneous Tricuspid Valve Disease Patient/Family Resources National Library of Medicine MEDLINE plus Health Topics: Index Heart Valve Diseases: List of documents YAHOO - Health:Diseases and Conditions:Heart Diseases Additional Cardiology resources ( These sites have not been reviewed.

14. Tricuspid Valve Disease tricuspid valve disease. Due to Rheumatic fever (mitral v. involvement);Septic endocarditis; Drug abusers. Can be tolerated for years http://www.health.ufl.edu/anires/Models/tsld051.htm

Tricuspid Valve Disease Due to: Rheumatic fever (mitral v. involvement) Septic endocarditis Drug abusers Previous slide Next slide Back to first slide View graphic version

15. Capstone Clinic Digital Library Patient/Family Resources by Topic Cardiovascular Disorders tricuspid valve disease Patient/Family Resources Miscellaneous See also Congenital Heart Disease Patient/Family Resources General Cardiovascular Disorders Patient/Family Resources http://hsuvacharlottesville-dl.slis.ua.edu/clinical/cardiology/valvular/tricuspi

Clinical Resources by Topic: Cardiovascular Disorders Tricuspid Valve Disease Clinical Resources Emergency Pediatrics Geriatrics Radiology ... Miscellaneous Resources See also: Congenital Heart Disease Clinical Resources Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Tricuspid Valve Disease Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Health Sciences Library subscription INFO Chapter 234: Congenital Heart Disease in the Adult: Table of contents Introduction: Access document Etiology and Prevention: Access document Pathophysiology: Access document Infective Endocarditis: Access document Exercise: Access document Insurability and Employability: Access document Specific Cardiac Defects: Access document Cyanotic Congenital Heart Disease with Decreased Pulmonary Blood Flow: Access document Tricuspid Atresia: Access document Ebstein's Anomaly: Access document Chapter 236: Valvular Heart Disease: Table of contents Introduction: Access document Tricuspid Stenosis: Access document Introduction: Access document Pathophysiology: Access document Symptoms: Access document Physical Findings: Access document Laboratory Examination: Access document Treatment: Access document Tricuspid Regurgitation: Access document Introduction: Access document Treatment: Access document Valve Replacement: Access document Braunwald-Heart Disease: A Textbook of Cardiovascular Medicine 6th Ed.-2001 (MD Consult):

16. Florida State University College Of Medicine Digital Library Cardiovascular Disorders. tricuspid valve disease Patient/Family Resources.Miscellaneous. tricuspid valve disease Clinical Resources. American Heart http://fsumed-dl.slis.ua.edu/patientinfo/cardiology/valvular/tricuspidvalvedisea

Patient/Family Resources by Topic: Cardiovascular Disorders Tricuspid Valve Disease Patient/Family Resources Spanish Miscellaneous See also: Congenital Heart Disease Patient/Family Resources General Cardiovascular Disorders Patient/Family Resources Tricuspid Valve Disease Clinical Resources American Heart Association: Homepage Heart and Stroke A-Z Guide: Table of contents Congenital Heart Disease: Access document MEDLINE plus Medical Encyclopedia: Table of contents Tricuspid Regurgitation: English Spanish Tricuspid Atresia: English Spanish Merck Manual Home Edition Table of contents Chapter 19. Heart Valve Disorders: Access document Complete Home Medical Guide: Table of contents Heart and Blood Vessel Diseases: Table of contents Types of Cardiovascular Disease: Access document Heart Valve Disease: Access document Spanish MEDLINE plus Medical Encyclopedia: Table of contents Tricuspid Regurgitation: English Spanish Tricuspid Atresia: English Spanish Miscellaneous Tricuspid Valve Disease Patient/Family Resources National Library of Medicine MEDLINE plus Health Topics: Index Heart Valve Diseases: List of documents YAHOO - Health:Diseases and Conditions:Heart Diseases Additional Cardiology resources ( These sites have not been reviewed.

17. Florida State University College Of Medicine Digital Library Clinical Resources by Topic Cardiovascular Disorders.tricuspid valve disease Clinical Resources. http://fsumed-dl.slis.ua.edu/clinical/cardiology/valvular/tricuspidvalvedisease.

Clinical Resources by Topic: Cardiovascular Disorders Tricuspid Valve Disease Clinical Resources Emergency Pediatrics Geriatrics Radiology ... Miscellaneous Resources See also: Congenital Heart Disease Clinical Resources Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Tricuspid Valve Disease Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Medical Library subscription INFO Chapter 234: Congenital Heart Disease in the Adult: Table of contents Introduction: Access document Etiology and Prevention: Access document Pathophysiology: Access document Infective Endocarditis: Access document Exercise: Access document Insurability and Employability: Access document Specific Cardiac Defects: Access document Cyanotic Congenital Heart Disease with Decreased Pulmonary Blood Flow: Access document Tricuspid Atresia: Access document Ebstein's Anomaly: Access document Chapter 236: Valvular Heart Disease: Table of contents Introduction: Access document Tricuspid Stenosis: Access document Introduction: Access document Pathophysiology: Access document Symptoms: Access document Physical Findings: Access document Laboratory Examination: Access document Treatment: Access document Tricuspid Regurgitation: Access document Introduction: Access document Treatment: Access document Valve Replacement: Access document Braunwald-Heart Disease: A Textbook of Cardiovascular Medicine 6th Ed.-2001 (MD Consult):

18. CCHS Clinical Digital Library Clinical Resources by Topic Cardiovascular Disorders.tricuspid valve disease Clinical Resources. http://cchs-dl.slis.ua.edu/clinical/cardiology/valvular/tricuspidvalvedisease.ht

Clinical Resources by Topic: Cardiovascular Disorders Tricuspid Valve Disease Clinical Resources Emergency Pediatrics Geriatrics Radiology ... Miscellaneous Resources See also: Congenital Heart Disease Clinical Resources Cardiovascular Clinical Procedure Resources General Cardiovascular Disorders Clinical Resources Tricuspid Valve Disease Patient/Family Resources Harrison's Principles of Internal Medicine 15th Ed.-2001: Table of contents Health Sciences Library subscription INFO Chapter 234: Congenital Heart Disease in the Adult: Table of contents Introduction: Access document Etiology and Prevention: Access document Pathophysiology: Access document Infective Endocarditis: Access document Exercise: Access document Insurability and Employability: Access document Specific Cardiac Defects: Access document Cyanotic Congenital Heart Disease with Decreased Pulmonary Blood Flow: Access document Tricuspid Atresia: Access document Ebstein's Anomaly: Access document Chapter 236: Valvular Heart Disease: Table of contents Introduction: Access document Tricuspid Stenosis: Access document Introduction: Access document Pathophysiology: Access document Symptoms: Access document Physical Findings: Access document Laboratory Examination: Access document Treatment: Access document Tricuspid Regurgitation: Access document Introduction: Access document Treatment: Access document Valve Replacement: Access document Braunwald-Heart Disease: A Textbook of Cardiovascular Medicine 6th Ed.-2001 (MD Consult):

19. Heart Valve Disease Valve Disease. tricuspid valve disease General Overview. Please click on the linksbelow for specific information about the types of tricuspid valve disease http://www.mercyweb.org/heartcenter/html/hvd_detail.asp?ContentId=116

20. Tricuspid Stenosis (Narrowing Of The Tricuspid Valve) The causes, symptoms, diagnosis and surgery are discussed here as well as some other related topics.Category Health Conditions and Diseases tricuspid valve disease...... Since then members of The Kay Medical Group continue to operate on patients withcombined mitral and tricuspid valve disease and also aortic valve disease if http://www.kaymed.com/medterms_ts.htm

Tricuspid Stenosis Tricuspid stenosis is an uncommon valvular lesion. It is due to rheumatic fever and is always associated with rheumatic mitral valve disease and sometimes combined with mitral valve disease and aortic valve disease as well. Tricuspid stenosis occurs in about 5% of patients with rheumatic mitral valve disease. The symptoms of tricuspid stenosis are usually those of the concomitant mitral stenosis or mitral regurgitation. These are shortness of breath on exertion and tiredness. The tricuspid stenosis may be associated with various degrees of tricuspid regurgitation (leaking) due to deformity of the valve. The disease of the tricuspid valve, if severe enough, will produce swelling of the liver, fluid in the abdomen and edema (swelling of the lower extremities due to fluid). The reason for these findings is that blood is restricted from flowing through the stenotic (narrowed) tricuspid valve and into the right ventricle (right lower chamber of the heart). Diagnosis of the tricuspid valvular and mitral valvular disease can be made by echocardiography. One never sees rheumatic aortic and tricuspid valve involvement without mitral involvement in the rheumatic process. However, patients may have rheumatic tricuspid stenosis and mitral stenosis without aortic valve disease. Prior to operation, one must perform coronary arteriography to determine whether the coronary arteries have significant blockages as well. If the coronary arteries are significantly obstructed they should have bypasses at the time of surgery on the mitral and tricuspid valves. The aortic valve should be repaired or replaced at the time of surgery as well if it is involved.

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