Tricuspid stenosis natural history, complications and prognosis: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
Gunnam (talk | contribs)
nocaptcha, Administrators
8,766 edits
Gunnam (talk | contribs)
nocaptcha, Administrators
8,766 edits
Line 4: Line 4:


==Overview==
==Overview==
The natural course of tricuspid stenosis is not well defined and it is extremely rare for TS to occur in isolation. The most common cause of TS is rheumatic heart disease and it is usually associated with coexisting mitral valve and/or aortic valve abnormality. TS of rheumatic etiology usually occurs with tricuspid regurgitation. Tricuspid stenosis takes years to develop, with  some exceptions such as congenital causes. Complications of tricuspid stenosis include [[heart failure]], [[liver failure]], and [[stroke]].<ref name="pmid15786615">{{cite journal| author=Diaof M, Ba SA, Kane A, Sarr M, Diop IB, Diouf SM| title=[Tricuspid valve stenosis. A prospective study of 35 cases]. | journal=Dakar Med | year= 2004 | volume= 49 | issue= 2 | pages= 96-100 | pmid=15786615 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15786615  }} </ref>
The natural course of tricuspid stenosis is not well defined and it is extremely rare for TS to occur in isolation. The most common cause of TS is rheumatic heart disease and it is usually associated with coexisting mitral valve and/or aortic valve abnormality. TS of rheumatic etiology usually occurs with tricuspid regurgitation. Tricuspid stenosis takes years to develop, with  some exceptions such as congenital causes. Complications of tricuspid stenosis include [[heart failure]], [[liver failure]], and [[stroke]].


==Natural History==
==Natural History==
*After several years, the right atrium can become enlarged because blood flow through the narrow tricuspid valve opening is partially blocked. An enlarged atrium can affect the pressure and blood flow in the nearby chambers and veins.<ref name="pmid30449382">{{cite journal |vauthors=Crousillat DR, Wood MJ |title=Valvular Heart Disease and Heart Failure in Women |journal=Heart Fail Clin |volume=15 |issue=1 |pages=77–85 |date=January 2019 |pmid=30449382 |doi=10.1016/j.hfc.2018.08.008 |url=}}</ref><ref name="pmid9665226​">{{cite journal| author=Roguin A, Rinkevich D, Milo S, Markiewicz W, Reisner SA| title=Long-term follow-up of patients with severe rheumatic tricuspid stenosis. | journal=Am Heart J | year= 1998 | volume= 136 | issue= 1 | pages= 103-8 | pmid=9665226​ | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9665226  }} </ref>
*After several years, the right atrium can become enlarged because blood flow through the narrow tricuspid valve opening is partially blocked.<ref name="pmid30449382">{{cite journal |vauthors=Crousillat DR, Wood MJ |title=Valvular Heart Disease and Heart Failure in Women |journal=Heart Fail Clin |volume=15 |issue=1 |pages=77–85 |date=January 2019 |pmid=30449382 |doi=10.1016/j.hfc.2018.08.008 |url=}}</ref><ref name="pmid9665226​">{{cite journal| author=Roguin A, Rinkevich D, Milo S, Markiewicz W, Reisner SA| title=Long-term follow-up of patients with severe rheumatic tricuspid stenosis. | journal=Am Heart J | year= 1998 | volume= 136 | issue= 1 | pages= 103-8 | pmid=9665226​ | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9665226  }} </ref><ref name="pmid15786615">{{cite journal| author=Diaof M, Ba SA, Kane A, Sarr M, Diop IB, Diouf SM| title=[Tricuspid valve stenosis. A prospective study of 35 cases]. | journal=Dakar Med | year= 2004 | volume= 49 | issue= 2 | pages= 96-100 | pmid=15786615 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15786615  }} </ref>
*It can also cause the right ventricle to shrink because the amount of blood entering from the right atrium is reduced. Eventually, less blood circulates through the lungs to get oxygen<ref name="pmid26005174">{{cite journal |vauthors=Aksu U, Topcu S |title=Giant right atrium due to rheumatic tricuspid valve stenosis |journal=Int. J. Cardiol. |volume=193 |issue= |pages=47–8 |date=August 2015 |pmid=26005174 |doi=10.1016/j.ijcard.2015.05.049 |url=}}</ref>.
*An enlarged atrium can affect the pressure and blood flow in the nearby chambers and veins.
*Bioprosthetic tricuspid valve stenosis is not uncommon after 8 years. Tricuspid valve replacement performed at the second surgery was associated with a higher incidence of bioprosthetic tricuspid valve stenosis<ref name="pmid31367735">{{cite journal |vauthors=Hirata K, Tengan T, Wake M, Takahashi T, Ishimine T, Yasumoto H, Nakasu A, Mototake H |title=Bioprosthetic tricuspid valve stenosis: a case series |journal=Eur Heart J Case Rep |volume=3 |issue=3 |pages= |date=September 2019 |pmid=31367735 |pmc=6764547 |doi=10.1093/ehjcr/ytz110 |url=}}</ref>.
*It can also cause the right ventricle to shrink because the amount of blood entering from the right atrium is reduced.
*Eventually, less blood circulates through the lungs to get oxygen.<ref name="pmid26005174">{{cite journal |vauthors=Aksu U, Topcu S |title=Giant right atrium due to rheumatic tricuspid valve stenosis |journal=Int. J. Cardiol. |volume=193 |issue= |pages=47–8 |date=August 2015 |pmid=26005174 |doi=10.1016/j.ijcard.2015.05.049 |url=}}</ref>
*Bioprosthetic tricuspid valve stenosis is not uncommon after 8 years.  
*Tricuspid valve replacement performed at the second surgery was associated with a higher incidence of bioprosthetic tricuspid valve stenosis.<ref name="pmid31367735">{{cite journal |vauthors=Hirata K, Tengan T, Wake M, Takahashi T, Ishimine T, Yasumoto H, Nakasu A, Mototake H |title=Bioprosthetic tricuspid valve stenosis: a case series |journal=Eur Heart J Case Rep |volume=3 |issue=3 |pages= |date=September 2019 |pmid=31367735 |pmc=6764547 |doi=10.1093/ehjcr/ytz110 |url=}}</ref>


==Complication==
==Complication==

Revision as of 23:57, 17 March 2020

Tricuspid stenosis Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating Tricuspid stenosis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Tricuspid stenosis natural history, complications and prognosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Tricuspid stenosis natural history, complications and prognosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Tricuspid stenosis natural history, complications and prognosis

CDC on Tricuspid stenosis natural history, complications and prognosis

Tricuspid stenosis natural history, complications and prognosis in the news

Blogs on Tricuspid stenosis natural history, complications and prognosis

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Tricuspid stenosis natural history, complications and prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]

Overview

The natural course of tricuspid stenosis is not well defined and it is extremely rare for TS to occur in isolation. The most common cause of TS is rheumatic heart disease and it is usually associated with coexisting mitral valve and/or aortic valve abnormality. TS of rheumatic etiology usually occurs with tricuspid regurgitation. Tricuspid stenosis takes years to develop, with some exceptions such as congenital causes. Complications of tricuspid stenosis include heart failure, liver failure, and stroke.

Natural History

  • After several years, the right atrium can become enlarged because blood flow through the narrow tricuspid valve opening is partially blocked.[1][2][3]
  • An enlarged atrium can affect the pressure and blood flow in the nearby chambers and veins.
  • It can also cause the right ventricle to shrink because the amount of blood entering from the right atrium is reduced.
  • Eventually, less blood circulates through the lungs to get oxygen.[4]
  • Bioprosthetic tricuspid valve stenosis is not uncommon after 8 years.
  • Tricuspid valve replacement performed at the second surgery was associated with a higher incidence of bioprosthetic tricuspid valve stenosis.[5]

Complication

The following complications may occur from tricuspid stenosis:

Prognosis

With medical intervention, severe tricuspid stenosis appears well tolerated over several years of follow-up.[2]

References

  1. ↑ Crousillat DR, Wood MJ (January 2019). "Valvular Heart Disease and Heart Failure in Women". Heart Fail Clin. 15 (1): 77–85. doi:10.1016/j.hfc.2018.08.008. PMID 30449382.
  2. ↑ 2.0 2.1 2.2 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​ Check |pmid= value (help). zero width space character in |pmid= at position 8 (help)
  3. ↑ 3.0 3.1 Diaof M, Ba SA, Kane A, Sarr M, Diop IB, Diouf SM (2004). "[Tricuspid valve stenosis. A prospective study of 35 cases]". Dakar Med. 49 (2): 96–100. PMID 15786615.
  4. ↑ Aksu U, Topcu S (August 2015). "Giant right atrium due to rheumatic tricuspid valve stenosis". Int. J. Cardiol. 193: 47–8. doi:10.1016/j.ijcard.2015.05.049. PMID 26005174.
  5. ↑ Hirata K, Tengan T, Wake M, Takahashi T, Ishimine T, Yasumoto H, Nakasu A, Mototake H (September 2019). "Bioprosthetic tricuspid valve stenosis: a case series". Eur Heart J Case Rep. 3 (3). doi:10.1093/ehjcr/ytz110. PMC 6764547 Check |pmc= value (help). PMID 31367735.
Retrieved from "https://www.wikidoc.org/index.php?title=Tricuspid_stenosis_natural_history,_complications_and_prognosis&oldid=1602576"