Tired of Trying – An Approach to Tricuspid Regurgitation

Tricuspid regurgitation (TR), a condition where the tricuspid valve doesn't close properly, is explored, detailing its causes, symptoms, and management. The discussion distinguishes between primary TR, caused by issues with the valve itself, and secondary TR, resulting from conditions affecting the right ventricle or increasing right ventricular systolic pressure. Symptoms of TR include peripheral edema, ascites, and fatigue, though patients may initially be asymptomatic. Diagnosis involves physical examination for a tricuspid murmur and jugular vein distension, alongside echocardiography to visualize valve pathology. Management focuses on treating the underlying cause and using diuretics to alleviate symptoms, with interventions like transcatheter edge-to-edge repair considered for severe cases. A clinical trial showed that transcatheter repair improved quality of life for patients.