Echocardiographic Assessment and Clinical Implication of Functional Tricuspid Regurgitation in Heart Failure Patients | ||||
| International Journal of Medical Arts | ||||
| Articles in Press, Accepted Manuscript, Available Online from 26 May 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2025.251539.1876 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Sheref Mohey El-dein Ibrahi Khalifa  ; Kamal Ahmed Marghany; Wael Mohamed Atia
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| Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: A quite frequent problem known as tricuspid regurgitation can be caused by structural anomalies in any component of the tricuspid valve mechanism. Tricuspid valve problems, particularly 1st-place regurgitation, have long been underappreciated in terms of their significance for prognosis & overall survival. Objective: Exploration of prevalence, pathophysiological mechanisms and mid-term prognostic implications of functional tricuspid regurgitation in studied cases with heart failure with reduced, mildly reduced or preserved ejection failure. Patients and Methods: Research population included 200 studied cases with heart failure referred to our echo lab. Cases were divided into three groups; 100 cases with heart failure with reduced ejection fraction < 40% (HFrEF), 50 cases with heart failure with midrange ejection fraction < 50% (HFmrEF) and 50 cases with heart failure with preserved ejection fraction > 50% (HFpEF). In each group cases were divided into those with moderate to severe tricuspid regurgitation and others with mild tricuspid regurgitation or less. Results: Coronary artery disease (CAD) and chronic obstructive pulmonary disease (COPD) were statistically significantly higher among HFrEF group. Also, right ventricular hypokinetic lateral wall contractility and longitudinal diameter were statistically significantly higher among HFrEF group. Regarding tricuspid valve measures, there had been high statistically significant variation among studied groups as regard AL length and tenting area. Conclusion: Considerable functional tricuspid valve regurgitation (FTR) & unique echocardiographic characteristics that indicate advanced right heart dysfunction with higher probability of negative results are linked to HFpEF with right atrium (RA) remodeling. | ||||
| Keywords | ||||
| Echocardiographic; Functional Tricuspid Regurgitation; Heart Failure | ||||
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