Tricuspid regurgitation differential diagnosis: Difference between revisions
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*Can be best heard over the fourth intercostal area at left sternal border. | *Can be best heard over the fourth intercostal area at left sternal border. | ||
*The intensity can be accentuated following inspiration ([[Carvallo's sign]]) due to increased regurgitant flow in right ventricular volume. | *The intensity can be accentuated following inspiration ([[Carvallo's sign]]) due to increased regurgitant flow in [[right ventricular]] volume. | ||
*Tricuspid regurgitation is most often secondary to [[pulmonary hypertension]]. | *Tricuspid regurgitation is most often secondary to [[pulmonary hypertension]]. | ||
*Primary tricuspid regurgitation is less common and can be due to bacterial endocarditis following IV drug use, [[Ebstein's anomaly]], [[carcinoid disease]], or prior [[right ventricular infarction]]. | *Primary tricuspid regurgitation is less common and can be due to bacterial [[endocarditis]] following IV drug use, [[Ebstein's anomaly]], [[carcinoid disease]], or prior [[right ventricular infarction]]. | ||
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*The murmur in mitral regurgitation is high pitched and best heard at the apex with diaphragm of the stethoscope with patient in the lateral decubitus position. | *The murmur in [[mitral regurgitation]] is high pitched and best heard at the [[apex]] with diaphragm of the stethoscope with patient in the lateral decubitus position. | ||
*Left ventricular function can be assessed by determining the apical impulse. | *Left ventricular function can be assessed by determining the apical impulse. | ||
*A normal or hyperdynamic apical impulse suggests good ejection fraction and primary mitral regurgitation. | *A normal or hyperdynamic apical impulse suggests good ejection fraction and primary [[mitral regurgitation]]. | ||
*A displaced and sustained apical impulse suggests decreased ejection fraction and chronic and severe mitral regurgitation. | *A displaced and sustained apical impulse suggests decreased ejection fraction and chronic and severe [[mitral regurgitation]]. | ||
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*The holosystolic murmur can be best heard over the left third and fourth intercostal spaces and along the sternal border. | *The holosystolic murmur can be best heard over the left third and fourth intercostal spaces and along the sternal border. | ||
*When the shunt becomes reversed ( | *When the shunt becomes reversed ([[Eisenmenger's syndrome]]), the murmur may be absent and S<sub>2</sub> can become markedly accentuated and single. | ||
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Revision as of 14:26, 12 September 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Tricuspid Regurgitation Microchapters |
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Diagnosis |
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Tricuspid regurgitation differential diagnosis On the Web |
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American Roentgen Ray Society Images of Tricuspid regurgitation differential diagnosis |
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Risk calculators and risk factors for Tricuspid regurgitation differential diagnosis |
Overview
The blowing holosystolic murmur of tricuspid regurgitation must be distinguished from mitral regurgitation and a ventricular septal defect.
Differentiating Mitral regurgitation from other Diseases
| Tricuspid Regurgitation | Mitral Regurgitation | VSD |
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