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Regurgitação tricúspide

Последний просмотренный: 18 Jun 2025
Last updated: 21 Mar 2025

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • presença de fatores de risco
  • fadiga e intolerância ao esforço
  • dispneia
  • palpitações
  • anormalidade venosa jugular
  • ritmo cardíaco irregular
  • sopro sistólico paraesternal
  • aumento do sopro sistólico na inspiração (sinal de Carvallo)
  • edema periférico
Полная информация

Другие диагностические факторы

  • distensão abdominal
  • saciedade precoce, dispepsia
  • pulsação do fígado
Полная информация

Факторы риска

  • insuficiência cardíaca esquerda
  • anel tricúspide dilatado
  • doença reumática cardíaca
  • marca-passo permanente
  • endocardite
  • cardiopatia carcinoide
  • encarceramento do fio do marca-passo
  • cardiomiopatia isquêmica
  • pericardite constritiva
  • cardiopatia congênita
  • toxinas
  • artrite reumatoide
  • radioterapia
  • trauma
  • Síndrome de Marfan
  • prolapso da valva tricúspide
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • ecocardiograma transesofágico ou transtorácico
  • eletrocardiograma (ECG)
  • TFHs
  • ureia e creatinina séricas
  • Hemograma completo
  • radiografia torácica
Полная информация

Исследования, проведение которых нужно рассмотреть

  • ecocardiografia transesofágica cirúrgica
  • ecocardiografia transtorácica pós-operatória
  • cateterismo cardíaco
  • ressonância nuclear magnética (RNM) cardíaca (técnica preferida para avaliação do tamanho e da função do ventrículo direito)
Полная информация

Алгоритм лечения

Острый

primária: leve ou moderada

primária: grave

secundária: leve ou moderada

secundária: grave

Составители

Авторы

Shahab A. Akhter, MD

Professor of Cardiothoracic

Division of Cardiac Surgery

Department of Cardiovascular Sciences

Brody School of Medicine

East Carolina University

Greenville

NC

Раскрытие информации

SAA declares that he has no competing interests.

Paul Tang, MD, PhD

Assistant Professor

Department of Cardiac Surgery

University of Michigan

Ann Arbor

MI

Раскрытие информации

PT declares that he has no competing interests.

Jarred Mondonedo, MD, PhD

Cardiothoracic Surgery Fellow

Department of Cardiac Surgery

University of Michigan

Ann Arbor

MI

Раскрытие информации

JM declares that he has no competing interests.

Выражение благодарностей

Dr Shahab A. Akhter and Dr Paul Tang would like to gratefully acknowledge Dr Kevin L. Greason, Dr Sorin V. Pislaru, and Prof. Thoraf M. Sundt III, previous contributors to this topic.

Раскрытие информации

KLG, SVP, and TMS declare that they have no competing interests.

Рецензенты

Larry A. Weinrauch, MD

Assistant Professor of Medicine

Harvard Medical School

Watertown

MA

Раскрытие информации

LAW declares that he has no competing interests.

Prakash P. Punjabi, MB BS

Consultant Cardiothoracic Surgeon

Imperial College Healthcare NHS Trust

London

UK

Раскрытие информации

PPP declares that he has no competing interests.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Shah PM, Raney AA. Tricuspid valve disease. Curr Probl Cardiol. 2008 Feb;33(2):47-84. Аннотация

Vahanian A, Beyersdorf F, Praz F, et al; ESC/EACTS Scientific Document Group; ESC Scientific Document Group. 2021 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 28 Aug 2021 [Epub ahead of print].Полный текст  Аннотация

Lancellotti P, Moura L, Pierard LA, et al. European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 2: mitral and tricuspid regurgitation (native valve disease). Eur J Echocardiogr. 2010 May;11(4):307-32.Полный текст  Аннотация

Writing Committee Members., Otto CM, Nishimura RA, et al. 2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2021 Feb 2;77(4):e25-e197.Полный текст  Аннотация

Abbas M, Hamilton M, Yahya M, et al. Pulsating varicose veins!! The diagnosis lies in the heart. ANZ J Surg. 2006 Apr;76(4):264-6. Аннотация

Статьи, указанные как источники

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