Determinants of Tricuspid Regurgitation Progression and Its Implications for Adequate Management - JIMG June 2024-Article: Determinants of Tricuspid Regurgitation Progression and Its Implications for Adequate Management

Article: Determinants of Tricuspid Regurgitation Progression and Its Implications for Adequate Management

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Tricuspid regurgitation (TR) is a serious heart condition linked to increased mortality and heart failure. A study of 1,442 patients with moderate TR found that 19% experienced progression, influenced by factors like age, body mass index, kidney disease, and heart function. TR worsening led to higher cardiovascular mortality and heart failure hospitalizations. While TR causes varied, left ventricular disease was common without directly impacting progression. Pulmonary hypertension (PH) increased heart failure risks and death. Despite observed right ventricular issues, they didn't predict outcomes individually. Managing TR progression is critical for patient survival. The study insights aid in understanding and treating this common heart problem, recommending close monitoring for optimal results, regular echocardiograms, and exploring transcatheter therapies to prevent progression. The document highlights the need for early identification and tailored therapy for TR patients to enhance their care and outcomes.

Keywords

Tricuspid regurgitation

heart condition

mortality

heart failure

progression

age

body mass index

kidney disease

left ventricular disease

pulmonary hypertension