Tricuspid stenosis electrocardiogram: Difference between revisions
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* An ECG may be not helpful in the diagnosis tricuspid stenosis but it is an useful tool to identify the concurrent conditions such as atrial fibrillation. | * An ECG may be not helpful in the diagnosis tricuspid stenosis but it is an useful tool to identify the concurrent conditions such as atrial fibrillation. | ||
*Findings on an ECG suggestive of tricuspid stenosis include:<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="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><ref name="pmid28613493">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=28613493 | doi= | pmc= | url= }}</ref> | *Findings on an ECG suggestive of tricuspid stenosis include:<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="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><ref name="HenryMorganroth1976">{{cite journal|last1=Henry|first1=W L|last2=Morganroth|first2=J|last3=Pearlman|first3=A S|last4=Clark|first4=C E|last5=Redwood|first5=D R|last6=Itscoitz|first6=S B|last7=Epstein|first7=S E|title=Relation between echocardiographically determined left atrial size and atrial fibrillation.|journal=Circulation|volume=53|issue=2|year=1976|pages=273–279|issn=0009-7322|doi=10.1161/01.CIR.53.2.273}}</ref><ref name="pmid28613493">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=28613493 | doi= | pmc= | url= }}</ref> | ||
**Tall, peak P waves in leads II, III, and avF which are consistent with right atrial enlargement | **Tall, peak P waves in leads II, III, and avF which are consistent with right atrial enlargement | ||
**Arrhythmias are frequent in this patient population. | **Arrhythmias are frequent in this patient population. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
The electrocardiogram of patients with tricuspid stenosis can demonstrate a sinus rhythm with or without signs of right atrial hypertrophy. Patients with tricuspid stenosis can experience frequent arrhythmias, particularly atrial flutter and/or atrial fibrillation due to the enlargement of the right atrium.
Electrocardiogram
- An ECG may be not helpful in the diagnosis tricuspid stenosis but it is an useful tool to identify the concurrent conditions such as atrial fibrillation.
- Findings on an ECG suggestive of tricuspid stenosis include:[1][2][3][4]
- Tall, peak P waves in leads II, III, and avF which are consistent with right atrial enlargement
- Arrhythmias are frequent in this patient population.
- Atrial flutter and/or fibrillation should not be surprising.
- Left atrial hypertrophy and enlargement can be noted in patients who are having mitral disease that is associated with rheumatic heart disease.
References
- ↑ 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.
- ↑ 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.
- ↑ Henry, W L; Morganroth, J; Pearlman, A S; Clark, C E; Redwood, D R; Itscoitz, S B; Epstein, S E (1976). "Relation between echocardiographically determined left atrial size and atrial fibrillation". Circulation. 53 (2): 273–279. doi:10.1161/01.CIR.53.2.273. ISSN 0009-7322.
- ↑ "StatPearls". 2020. PMID 28613493.