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Structural Heart Disease
Structural Heart Disease

Tricuspid Regurgitation



  • Causes of Tricuspid Regurgitation

  • Rheumatic heart disease
  • Infective endocarditis (particularly associated with IV drug use)
  • Ebstein's anomaly
  • Carcinoid syndrome
  • Trauma


Tricuspid regurgitation manifests as a pan-systolic murmur best heard at the left lower sternal edge on inspiration.
  • Signs of Tricuspid Regurgitation

  • Peripheral Signs

  • Prominent V wave within the jugular venous pulsation
  • Central Signs

  • Right ventricular heave
  • Pansystolic murmur that is maximal at the lower end of the sternum; louder on inspiration
  • Large, pulsatile, tender liver
  • Signs of Complications

  • Evidence of right heart failure - raised JVP, ascites, pleural effusions, peripheral oedema
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