Tricuspid regurgitation history and symptoms: Difference between revisions
Rim Halaby (talk | contribs) (Created page with "__NOTOC__ {{CMG}} {{Tricuspid regurgitation}} ==Overview== The majority of tricuspid regurgitation (TR) are asymptomatic. Symptoms of TR include clinical manifestations rela...") |
Rim Halaby (talk | contribs) No edit summary |
||
| Line 5: | Line 5: | ||
==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== | ||
| Line 18: | Line 31: | ||
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]
|
Tricuspid Regurgitation Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Tricuspid regurgitation history and symptoms On the Web |
|
American Roentgen Ray Society Images of Tricuspid regurgitation history and symptoms |
|
Risk calculators and risk factors for Tricuspid regurgitation history and symptoms |
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:
- 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 related to right heart failure:
- Abdominal distention
- Peripheral edema
- Palpitations (atrial fibrillation occurs due to the dilatation of the right atrium)[1]
Symptoms related to left heart failure:
- Fatigue (due to the decrease in cardiac output)
- Decreased exercise tolerance
Symptoms related to pulmonary hypertension:
- Dyspnea
- Fatigue
- Raynaud's phenomenon
- Syncope
- Chest pain
- Near Syncope
- Palpitations
- Leg swelling
- Cough (rare)
- Hemoptysis (rare)
- Hoarseness (rare)
References
- ↑ 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.