Tricuspid Valve Disease : Causes - Symptoms- Diagnosis -Treatment

What is Tricuspid Valve Disease?

Tricuspid valve disease is a condition that happens when the valve among the two proper heart chambers doesn’t feature nicely.

The tricuspid valve is one in every of 4 coronary heart valves that assist blood waft within the right course. The tricuspid valve is among the right higher heart chamber (atrium) and the proper lower coronary heart chamber (ventricle). Blood flows from the proper ventricle to your lungs, wherein it picks up oxygen for the relaxation of your frame.

What is Tricuspid Valve Disease?
Tricuspid Valve Disease

If the tricuspid valve doesn’t work nicely, you may want tracking or valve repair or substitute.

The tricuspid valve controls the waft of blood from your heart’s proper atrium (top chamber) to the proper ventricle (bottom chamber). Tricuspid regurgitation, or tricuspid valve regurgitation, happens whilst the valve’s flaps (cusps or leaflets) do not close properly. Blood can leak backward into the atrium from the leaky tricuspid valve, causing your coronary heart to pump more difficult to move blood through the valve.

  1. Circulatory system
  1. Heart

  2. Arteries

  3. Veins

  4. Blood vessels

Medical terms

  • Tricuspid valve sickness is a kind of coronary heart valve ailment (valvular heart ailment). The valve between the 2 right heart chambers (proper ventricle and proper atrium) would not work nicely. As a result, the heart must paint more difficult to ship blood to the lungs and the rest of the frame.
  • Tricuspid valve disorder regularly occurs with other coronary heart valve problems.
  • Symptoms and treatments of tricuspid valve disorder vary, relying on the specific valve situation. Treatment may also consist of monitoring, medicinal drug, or valve repair or valve alternative.

Tricuspid valve disease or TVD is a heart condition that affects the tricuspid valve This valve is part of the heart's pumping system and helps move blood from the right atrium to the right ventricle When it malfunctions blood can flow backward into the lungs when the heart pumps As a result of this abnormal blood flow patients experience a feeling of fullness or pressure in their chest.

(Tricuspid Valve Prolapse) Your heart has four valves that regulate blood flow The mitral and tricuspid valves are found between the upper chambers of your heart (the atria) and the lower chambers (the ventricles) They open to allow blood to be pumped through them then close during diastole when the pressure in the heart is greatest The aortic valve opens to allow blood to enter into the left ventricle from the left atrium then closes during diastole.

What is the disease of tricuspid heart valves?

Tricuspid valve disease also known as tricuspid incompetence is a disorder that affects the heart's tricuspid valve The tricuspid valve separates the right atrium and right ventricle of the heart The condition may cause blood to back up into the right atrium and become trapped there Over time this can lead to fluid accumulation in the lungs (pulmonary edema) or around the heart (pericardial effusion) It may also cause congestive heart failure.

Types Tricuspid valve disease

There are several types of tricuspid valve disease, including:

  • Tricuspid valve regurgitation. The tricuspid valve does not close well. As a result, blood leaks backward into the upper proper chamber (right atrium).

  • Tricuspid valve stenosis. The valve is narrowed or blocked. It's tougher for blood to transport from the higher proper coronary heart chamber (right atrium) to the lower proper coronary heart chamber (right ventricle).

  • Tricuspid atresia. In this situation present at start (congenital coronary heart defect), the tricuspid valve isn't formed. A solid sheet of tissue blocks the blood waft among the right coronary heart chambers.

  • Ebstein anomaly. This is a rare heart problem. It really is a gift at the start (congenital heart disorder). The tricuspid valve is inside the incorrect position and the valve's flaps are malformed. Blood would possibly leak backward thru the valve (tricuspid valve regurgitation).

Symptoms Tricuspid valve disease

Tricuspid valve disease may not cause any signs till it has turned out to be intense. When individuals are symptomatic, they will document fatigue, shortness of breath, reduced exercise tolerance, swelling of the legs or abdomen and a pulsing sensation within the neck. Affected individuals may be stated to have a heart murmur, an enlarged, pulsating liver as well as a pulsating neck vein, reflecting the backflow of blood from the proper aspect of the heart.

The signs and symptoms and symptoms of tricuspid valve disease vary. People with mild cases might have no signs at all. Those with mild to extreme cases would possibly have important tricuspid valve ailment symptoms, consisting of:

  • Fatigue or weakness.

  • Arrhythmia (abnormal heart rhythm).

  • Edema (swelling) in the abdomen (belly), legs, ankles or feet.

  • Enlarged liver.

  • Heart murmur.

  • Pulsing or fluttering feeling in the chest or neck.

  • Shortness of breath (dyspnea).

  • Skin that feels abnormally cold.

Causes Tricuspid valve disease

There are numerous reasons for tricuspid valve disease. Tricuspid regurgitation maximum commonly occurs in conditions which cause the proper ventricle to expand or dilate, ensuing in expansion of the valve’s ring-like base. These situations consist of coronary heart failure, which can be a purpose and effect of tricuspid valve ailment. Heart failure itself may be caused by pathology of the right or left aspect of the heart, for example coronary artery disease, left-sided valvular disorder and conditions which affect the muscle of the coronary heart, called cardiomyopathies. Tricuspid regurgitation can also result from ventricular dilation secondary to high blood pressure in the lung stream, known as pulmonary hypertension, which may be resulting from left-sided coronary heart disorder or lung disease, which includes emphysema. Less commonplace causes consist of trauma, infective endocarditis, rheumatic coronary heart sickness, carcinoid syndrome, degeneration of the valve’s assisting connective tissue and congenital coronary heart defects. Tricuspid stenosis maximum typically results from rheumatic heart ailment, which causes the leaflets of the valve to become thick, hardened and less capable of opening extensively, accordingly limiting forward blood glide.

The maximum common reason for tricuspid regurgitation is expansion of the right ventricle. Pressure from heart conditions, consisting of heart failure, pulmonary high blood pressure and cardiomyopathy, cause the ventricle to increase. The result is a misshapen tricuspid valve that can't close nicely and may leak.

Several things can cause tricuspid valve disease, including:

  • Carcinoid syndrome.

  • Congenital (present at birth) defects, such as Ebstein’s anomaly.

  • Enlarged right ventricle.

  • Infection, such as rheumatic fever or endocarditis.

  • Medications, especially fenfluramine and phentermine (diet drug also known as fen-phen).

  • Systemic health conditions, such as lupus, Marfan syndrome or rheumatoid arthritis.

  • Pulmonary hypertension.

  • Trauma (injury), such as damage from a heart attack, myocardial biopsy or pacemaker

  • Tumor or radiation therapy to the chest.

Prevention Tricuspid Valve Disease

There are several symptoms of tricuspid valve disease but they are related to the severity of the disease and how much heart muscle is affected These include shortness of breath fatigue, dizziness , fainting spells and swelling in the legs or abdomen Symptoms may also include chest pain and palpitations.

In many instances, you can’t prevent tricuspid valve disorder. But when you have a condition which can cause it, seek treatment and comply with your healthcare issuer’s commands.

Diagnosis Tricuspid valve disease

When paying attention to your coronary heart, your doctor may additionally pay attention to a heart murmur because of the first signal of tricuspid valve disease. This whooshing sound is turbulent blood flowing through the valve.

To affirm the analysis, your physician orders an echocardiogram. This check makes use of ultrasound waves to produce a video of the coronary heart pumping and valves beginning and closing. The ultrasound probe can be located in your chest (transthoracic) or guided down your throat (transesophageal) for a better view. Find out more about cardiovascular diagnostics, along with echocardiography.

To diagnose tricuspid valve disease, a healthcare provider will behavior a physical examination, a good way to contain:

  • Asking you about your symptoms.

  • Discussing your health history and medications.

  • Feeling the veins in your neck.

  • Listening to your heart with a stethoscope.

  • Taking your blood pressure.

If they think that you have a heart situation, they will refer you to a heart specialist or order a few assessments:

Treatment Tricuspid valve disease

Our docs can frequently repair a leaking tricuspid valve by way of reshaping the leaflets or stabilizing the base with a synthetic ring. In sufferers with tricuspid stenosis, the valve is normally replaced with a mechanical or organic tissue valve.

The traditional technique to treating tricuspid valve disease is open-coronary heart surgical procedure or minimally invasive surgical treatment (thoracotomy). But much less invasive strategies are emerging. With those procedures, you spend tons less time in the clinic, have much less pain and get better faster.

The Frankel Cardiovascular Center participates in several scientific trials to offer patients as many options as possible and enhance outcomes. These trials use a transcatheter approach in which the doctor inserts a catheter (skinny tube) right into a blood vessel within the groin and publishes it to the heart. Current trials use transcatheter approaches to restore and update the tricuspid valve.

Your tricuspid valve handiest requires restore or alternative if the regurgitation or your signs and symptoms are excessive. Depending on the severity of your tricuspid regurgitation, remedy at Penn may additionally include:

  • Regular monitoring: Our cardiac group and expert imaging professionals screen your disease development for the duration of ordinary appointments.

  • Medication: To cope with any uncomfortable signs and symptoms, along with swelling or abnormal coronary heart rhythms, your health practitioner may prescribe medication. Medications for tricuspid regurgitation commonly assist to save you water retention and control your heart fee.

  • Surgery: Your physician may advise tricuspid valve restore or substitute surgery to correct your diseased valve. If you are having surgical operation for some other heart circumstance, your tricuspid valve can be handled throughout the identical technique.

In addition to traditional treatments, Penn interventional cardiologists participate in lots of scientific trials trying out innovative transcatheter devices advanced to treat tricuspid valves. Select patients are candidates for investigational devices and tactics.

  1. Cardiac rehabilitation and circulatory rehabilitation

What you can do

The outlook with tricuspid valve disorder is normally proper. Many people control ordinary comply-with-up appointments and medications. When needed, surgical restore or substitute usually corrects the situation.

But human beings with severe, untreated instances frequently have a bad diagnosis, together with:

  • Progressively worse symptoms.

  • Ascites.

  • Blood clots.

  • Cardiac cirrhosis (liver damage caused by heart problems).

  • Heart damage.

  • Heart failure.

General summary

  1. The tricuspid valve is one of the four valves that make up the heart The valve itself is a thick muscular structure and it is responsible for stopping blood flow from the right atrium to the right ventricle When this valve fails to close properly it allows blood to pass through it into the heart's lower chambers A tricuspid valve repair or replacement procedure can fix this problem.
  2. The treatment of valve disease depends on the severity of the disease Mild cases of aortic stenosis (AS) can be treated with medication and lifestyle changes More severe cases of AS may require surgery to replace an incompetent aortic valve The patient's age overall health and other factors are taken into account prior to surgery Surgery for mitral valve disease is typically not recommended unless there are complications or symptoms such as congestive heart failure.

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