Functional tricuspid regurgitation in patients with pulmonary hypertension: is pulmonary artery pressure the only determinant of regurgitation severity?

Chest
Diab MutlakYoram Agmon

Abstract

Pulmonary hypertension is a common cause of functional tricuspid regurgitation (TR), but other factors play a role in determining TR severity. The objectives of our study were to determine the distribution of TR severity in relation to pulmonary artery systolic pressure (PASP) and to define the determinants of TR severity. The echocardiographic reports and selected echocardiographic studies of patients with echocardiographic estimation of PASP were reviewed. Patients with organic tricuspid valve (TV) disease were excluded from the analysis. Among 2,139 patients, the frequency of moderate or severe TR was progressively greater in patients with higher PASP. Nevertheless, TR was only mild in a substantial proportion of patients with high PASP (mild TR in 65.4% of patients with PASP 50-69 mm Hg and in 45.6% of patients with PASP >or= 70 mm Hg). By multivariate analysis, age, female gender, PASP (odds ratio, 2.26 per 10-mm Hg increase; 95% confidence interval, 1.95 to 2.61), pacemaker lead, right atrial (RA) and right ventricular enlargement, left atrial enlargement, and organic mitral valve disease were independently associated with greater degrees of TR. In patients with PASP >or= 70 mm Hg, RA size, tricuspid annular diameter, and...Continue Reading

References

Feb 22, 2003·American Heart Journal·Jong-Min SongSeung-Jung Park
Apr 11, 2003·The American Journal of Cardiology·Alan L HinderliterUNKNOWN PPH Study Group
Jul 2, 2003·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·William A ZoghbiUNKNOWN American Society of Echocardiography
Jul 6, 2004·Journal of the American College of Cardiology·H Mehrdad SadeghiAnthony N DeMaria
May 17, 2005·Journal of the American College of Cardiology·Grace LinDavid L Hayes
Jul 11, 2006·The American Journal of Cardiology·Hyung-Kwan KimYun-Shik Choi
Apr 3, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Diab MutlakYoram Agmon

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Citations

Aug 21, 2013·Annals of Biomedical Engineering·Alois PfennigerRolf Vogel
Jan 11, 2013·European Heart Journal·Luigi P BadanoMaurice Enriquez-Sarano
Nov 30, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Mohammed N NazmulBrian D Powell
Mar 30, 2012·Interactive Cardiovascular and Thoracic Surgery·Vasiliki KatsiIoannis Kallikazaros
Oct 1, 2011·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Jonathan O Nwiloh
Mar 29, 2014·Heart·Grace Lin, Peter A Brady
Dec 18, 2013·The Journal of Thoracic and Cardiovascular Surgery·Dong Seop JeongPyo Won Park
Oct 17, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Harish RamakrishnaWilliam J Vernick
Aug 19, 2014·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Karima AddetiaRoberto M Lang
Aug 14, 2010·Current Opinion in Cardiology·Bryan Ristow, Nelson B Schiller
Feb 22, 2012·Current Cardiology Reports·Rashmi ThapaJayant Nath
Dec 19, 2012·Expert Review of Cardiovascular Therapy·Antonio Maria CalafioreMichele Di Mauro
Sep 29, 2011·The American Journal of the Medical Sciences·Diab MutlakYoram Agmon
Mar 4, 2014·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Takashi MurashitaTadaaki Koyama
Sep 27, 2012·Progress in Cardiovascular Diseases·Maria G Karas, Jorge R Kizer
Dec 30, 2015·Archives of Cardiovascular Diseases·Olivier HuttinChristine Selton-Suty
Mar 20, 2012·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Victor T Tsang, Shahzad G Raja
Mar 30, 2011·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Osami HonjoGlen S Van Arsdell
Apr 23, 2011·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Kibar YaredAaron L Baggish
Feb 1, 2011·The Journal of Thoracic and Cardiovascular Surgery·Oguz YilmazHartzell V Schaff
Mar 11, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Marcin MalinowskiTomasz A Timek
Aug 9, 2011·Pacing and Clinical Electrophysiology : PACE·Serafino Fazio, Guido Carlomagno
Jun 1, 2012·International Journal for Numerical Methods in Biomedical Engineering·J P MynardJ J Smolich
May 9, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S RaoG A Stouffer
Apr 6, 2016·Heart & Lung : the Journal of Critical Care·Erik H Van ItersonEric M Snyder
Jan 28, 2014·The American Journal of Cardiology·Avinoam ShiranDoron Aronson
Feb 11, 2014·The Journal of Thoracic and Cardiovascular Surgery·Naoto FukunagaTadaaki Koyama
Sep 15, 2014·The Journal of Thoracic and Cardiovascular Surgery·Andrew B GoldstoneY Joseph Woo
Mar 5, 2016·The British Journal of Radiology·Ursula ReiterMichael Fuchsjäger
Sep 12, 2015·European Heart Journal·Mani ArsalanPaul A Grayburn
Apr 10, 2016·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·L Abbigail GrangerPatricia Queiroz-Williams
Nov 13, 2014·European Journal of Heart Failure·Robert DraguDoron Aronson
Jan 31, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Seitetsu L LeeIssei Komuro
Apr 7, 2012·Medical Image Analysis·Sasa GrbicDorin Comaniciu
Aug 23, 2016·Echocardiography·Anjith VupputuriRajiv Chandrasekharan Nair
Oct 1, 2016·Journal of the American College of Cardiology·Thomas K JonesDoff B McElhinney

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