Valvular Heart DiseaseRisk Factors for Progression of Functional Tricuspid Regurgitation
Section snippets
Methods
This case-control study was based on the Lady Davis Carmel Medical Center echocardiography laboratory database. The echocardiography laboratory serves both inpatients and outpatients and functions both as a tertiary center and as a community service.
The study group comprised 100 consecutive patients who had TR progression on serial echocardiograms performed from January 2000 to December 2012. All patients had either trivial or mild TR on echo 1 (defined as the first available echocardiogram)
Results
Clinical characteristics of the patients with TR progression (n = 100) and the patients in the control group, who did not have TR progression (n = 100), are listed in Table 1. The 2 groups were well matched for age and gender. The TR progression group was slightly older, but although the difference was statistically significant, it was negligible (<1%). RHD was uncommon in both groups (<10%). Left-sided valvular heart disease was present in about a third of the patients, and less than 10% had
Discussion
In this study, we determined the risk factors for TR progression in patients referred for echocardiography in our echocardiography laboratory. Our patient population was different from previous studies, which included mostly young rheumatic patients after MV surgery.7, 8, 10 Our patients were on average 20 years older compared with previous studies, most of them were nonrheumatic and without previous MV surgery, and the majority without left-sided valvular heart disease and with preserved LVEF.
Disclosures
The authors have no conflicts of interest to disclose.
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