Tricuspid stenosis other imaging findings: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Tricuspid | {{Tricuspid stenosis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{VKG}} | ||
==Overview== | ==Overview== | ||
[[Cardiac catheterization]] may be helpful in the diagnosis of [[tricuspid stenosis]]. Findings on a [[cardiac catheterization]] suggestive of [[tricuspid stenosis]] include [[Atrium (heart)|atrial]] "[[A wave|a]]" wave and mean gradient across the [[tricuspid valve]]. | |||
==Other Imaging Findings== | |||
[ | *[[Cardiac catheterization]] may be helpful in the diagnosis of [[tricuspid stenosis]]. Findings on an [[cardiac catheterization]] suggestive of [[tricuspid stenosis]] include:<ref name="pmid29763166">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29763166 | doi= | pmc= | url= }}</ref><ref name="BonowCarabello2008">{{cite journal|last1=Bonow|first1=Robert O.|last2=Carabello|first2=Blase A.|last3=Chatterjee|first3=Kanu|last4=de Leon|first4=Antonio C.|last5=Faxon|first5=David P.|last6=Freed|first6=Michael D.|last7=Gaasch|first7=William H.|last8=Lytle|first8=Bruce W.|last9=Nishimura|first9=Rick A.|last10=O'Gara|first10=Patrick T.|last11=O'Rourke|first11=Robert A.|last12=Otto|first12=Catherine M.|last13=Shah|first13=Pravin M.|last14=Shanewise|first14=Jack S.|title=2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease|journal=Circulation|volume=118|issue=15|year=2008|issn=0009-7322|doi=10.1161/CIRCULATIONAHA.108.190748}}</ref> | ||
** Large [[Right atrium|right atrial]] "[[A wave|a]]" wave of 12 to 20 mm Hg.<ref name="MorganForker1971">{{cite journal|last1=Morgan|first1=Jacob R.|last2=Forker|first2=Alan D.|last3=Coates|first3=J. R.|last4=Myers|first4=W. S.|title=Isolated Tricuspid Stenosis|journal=Circulation|volume=44|issue=4|year=1971|pages=729–732|issn=0009-7322|doi=10.1161/01.CIR.44.4.729}}</ref><ref name="FinneganAbrams1973">{{cite journal|last1=Finnegan|first1=P|last2=Abrams|first2=L D|title=Isolated tricuspid stenosis.|journal=Heart|volume=35|issue=11|year=1973|pages=1207–1210|issn=1355-6037|doi=10.1136/hrt.35.11.1207}}</ref> | |||
** A [[diastolic]], mean gradient of 4 to 8 mm Hg across the [[tricuspid valve]] on right heart [[catheterization]]. | |||
** An elevated [[Right atrium|right atrial]] pressure with a gradual fall in early [[diastole]] and a [[diastolic pressure]] gradient across the [[tricuspid valve]] is characteristic of [[tricuspid stenosis]]. | |||
**On [[cardiac catheterization]] a [[diastolic]] pressure gradients between 2 to 4 may indicate significant severe [[tricuspid stenosis]]. | |||
**On [[cardiac catheterization]] a [[tricuspid valve]] area less than 1.0 cm may also indicates severe [[tricuspid stenosis]]. | |||
== 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines<ref name="pmid33332150">{{cite journal| author=Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP, Gentile F | display-authors=etal| title=2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=Circulation | year= 2021 | volume= 143 | issue= 5 | pages= e72-e227 | pmid=33332150 | doi=10.1161/CIR.0000000000000923 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33332150 }}</ref> == | |||
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| colspan="1" style="text-align:center; background:LemonChiffon" |[[ESC guidelines classification scheme#Classification of Recommendations|Class IIa]] | |||
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| bgcolor="LemonChiffon" |2. In patients with TR, invasive measurement of the cardiac index, right-sided diastolic pressures, pulmonary artery pressures, and pulmonary vascular resistance, as well as right ventriculography, can be useful when clinical and noninvasive data are discordant or inadequate.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C-LD)]]'' | |||
|} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 14:10, 8 December 2022
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Tricuspid stenosis Microchapters |
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Diagnosis |
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Case Studies |
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Tricuspid stenosis other imaging findings On the Web |
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American Roentgen Ray Society Images of Tricuspid stenosis other imaging findings |
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Risk calculators and risk factors for Tricuspid stenosis other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Cardiac catheterization may be helpful in the diagnosis of tricuspid stenosis. Findings on a cardiac catheterization suggestive of tricuspid stenosis include atrial "a" wave and mean gradient across the tricuspid valve.
Other Imaging Findings
- Cardiac catheterization may be helpful in the diagnosis of tricuspid stenosis. Findings on an cardiac catheterization suggestive of tricuspid stenosis include:[1][2]
- Large right atrial "a" wave of 12 to 20 mm Hg.[3][4]
- A diastolic, mean gradient of 4 to 8 mm Hg across the tricuspid valve on right heart catheterization.
- An elevated right atrial pressure with a gradual fall in early diastole and a diastolic pressure gradient across the tricuspid valve is characteristic of tricuspid stenosis.
- On cardiac catheterization a diastolic pressure gradients between 2 to 4 may indicate significant severe tricuspid stenosis.
- On cardiac catheterization a tricuspid valve area less than 1.0 cm may also indicates severe tricuspid stenosis.
2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines[5]
| Class IIa |
| 2. In patients with TR, invasive measurement of the cardiac index, right-sided diastolic pressures, pulmonary artery pressures, and pulmonary vascular resistance, as well as right ventriculography, can be useful when clinical and noninvasive data are discordant or inadequate.(Level of Evidence: C-LD) |
References
- ↑ "StatPearls". 2020. PMID 29763166.
- ↑ Bonow, Robert O.; Carabello, Blase A.; Chatterjee, Kanu; de Leon, Antonio C.; Faxon, David P.; Freed, Michael D.; Gaasch, William H.; Lytle, Bruce W.; Nishimura, Rick A.; O'Gara, Patrick T.; O'Rourke, Robert A.; Otto, Catherine M.; Shah, Pravin M.; Shanewise, Jack S. (2008). "2008 Focused Update Incorporated Into the ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease". Circulation. 118 (15). doi:10.1161/CIRCULATIONAHA.108.190748. ISSN 0009-7322.
- ↑ Morgan, Jacob R.; Forker, Alan D.; Coates, J. R.; Myers, W. S. (1971). "Isolated Tricuspid Stenosis". Circulation. 44 (4): 729–732. doi:10.1161/01.CIR.44.4.729. ISSN 0009-7322.
- ↑ Finnegan, P; Abrams, L D (1973). "Isolated tricuspid stenosis". Heart. 35 (11): 1207–1210. doi:10.1136/hrt.35.11.1207. ISSN 1355-6037.
- ↑ Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP, Gentile F; et al. (2021). "2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines". Circulation. 143 (5): e72–e227. doi:10.1161/CIR.0000000000000923. PMID 33332150 Check
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