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tricuspid stenosis (TS)

Never an isolated lesion. Etiology: 1) rheumatic heart disease (most common) 2) carcinoid syndrome 3) atrial tumors (rare) Clinical manifestations: - diastolic murmur - low pitched, decrescendo, does not radiate - increased intensity during inspiration - heard best along left lower sternal border - low-pitched murmur may be difficult to auscultate, especially with faster heart rate [2] - elevated central venous pressure - prominent JVP a-wave - evidence of venous congestion - hepatomegaly, ascites, peripheral edema

Related

rheumatic fever tricuspid valve

General

tricuspid valve disease

References

  1. Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 45
  2. Medical Knowledge Self Assessment Program (MKSAP) 16, 17 American College of Physicians, Philadelphia 2012, 2015