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Tricuspid Stenosis (rare)
Tricuspid Stenosis (rare)
PATHO
PATHO
Infective endocarditis MCC (↑in IVDA)
SSX
SSX
Mid-late diastolic decrescendo with opening snap
↑ with inspiration (Carvallo's sign)
TS sounds like MS but with inspiration...
↑ preload to RIGHT side ➔ ↑ murmur! (unlike MS:↓ murmur with inspiration)
Tricuspid regurgitation
Tricuspid regurgitation
PATHO
PATHO
RV enlargement (pulmonary HTN) ➔ incompetent valve
SSX
SSX
Holo/pan-systolic blowing murmur that doesn't radiate
↑ with inspiration (Carvallo's sign)
↑ preload to RIGHT side ➔ ↑ murmur! (unlike MR: ↓ murmur with inspiration)
DX
DX
Guess... (echo)
TX
TX
Diuretics to ↓ volume ⊣ dilation
Severe: Repair preferred over replacing valve
Tx pulmonary HTN will ↓ TR
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