Tricuspid stenosis history and symptoms: Difference between revisions
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==Signs and Symptoms== | ==Signs and Symptoms== | ||
*The only symptoms of severe tricuspid stenosis are fluttering discomfort in the neck (due to giant a waves in the jugular pulse), fatigue and cold skin (due to low cardiac output), and right upper quadrant abdominal discomfort (due to an enlarged liver). | |||
*The primary visible sign is a giant flickering a wave with gradual y descent in the jugular veins. | |||
*Jugular venous distention may occur, increasing with inspiration (Kussmaul sign). | |||
*The face may become dusky and scalp veins may dilate when the patient is recumbent (suffusion sign). | |||
*Hepatic congestion and peripheral edema may occur. | |||
other symptoms includes: | |||
* [[Fatigue]] | * [[Fatigue]] | ||
*[[Dyspnea]]<ref name="pmidPMID: 9665226" /> | *[[Dyspnea]]<ref name="pmidPMID: 9665226" /> | ||
Revision as of 22:38, 2 March 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Tricuspid stenosis is mostly associated with mitral valve abnormalities.[1] Common symptoms include dyspnea, peripheral edema, and fatigue.
History
- Tricuspid stenosis is almost always due to rheumatic fever; tricuspid regurgitation is almost always also present, as is rheumatic mitral valvulopathy.
- Rare causes of tricuspid stenosis include systemic lupus erythematosus, right atrial myxoma, congenital malformations, and metastatic tumors.
- The right atrium becomes hypertrophied and distended, and sequelae of right heart disease–induced heart failure develop but without right ventricular (RV) dysfunction; the RV remains underfilled and small.
- Uncommonly, atrial fibrillation occurs.
Signs and Symptoms
- The only symptoms of severe tricuspid stenosis are fluttering discomfort in the neck (due to giant a waves in the jugular pulse), fatigue and cold skin (due to low cardiac output), and right upper quadrant abdominal discomfort (due to an enlarged liver).
- The primary visible sign is a giant flickering a wave with gradual y descent in the jugular veins.
- Jugular venous distention may occur, increasing with inspiration (Kussmaul sign).
- The face may become dusky and scalp veins may dilate when the patient is recumbent (suffusion sign).
- Hepatic congestion and peripheral edema may occur.
other symptoms includes:
- Fatigue
- Dyspnea[1]
- Abdominal discomfort (due to hepatomegaly secondary to systemic venous congestion)
- Pedal edema
- Jugular venous distension
- Heart murmur
References
- ↑ 1.0 1.1 Roguin A, Rinkevich D, Milo S, Markiewicz W, Reisner SA (1998). "Long-term follow-up of patients with severe rheumatic tricuspid stenosis". Am Heart J. 136 (1): 103–8. PMID 9665226 PMID: 9665226 Check
|pmid=value (help).