Update sull'insufficienza tricuspidale

Translated title of the contribution: Update on tricuspid regurgitation

Diego Bellavia, Samuele Pentiricci, Michele Senni, Antonello Gavazzi

Research output: Contribution to journalArticle

Abstract

Although commonly detected by transthoracic echocardiography, tricuspid regurgitation (TR) has been somehow neglected, and recent data have emerged on the need for careful examination of the tricuspid valve. Functional or secondary TR is the most frequent etiology of tricuspid valve pathology in western countries and is related to tricuspid annular dilation and leaflet tethering. The prognostic role of TR associated with organic left-sided valvular heart disease is well known. However, the value of functional TR in outcome stratification of patients with advanced left ventricular dysfunction is less clear. Surgical tricuspid repair has been avoided for years, because of the misconception that TR should disappear once the primary left-sided problem is treated; this results in a large number of untreated patients with functional TR. Over the past few years, many investigators have reported evidence in favor of a more aggressive surgical approach to functional TR. Consequently, interest has been growing in the pathophysiology and treatment of functional TR. The purpose of this article is to provide a comprehensive review of TR incorporating a description of valve anatomy, etiological factors, pathophysiology, epidemiological data, natural history, clinical evaluation, along with a discussion of the important role in prognostic stratification and a summary of management guidelines.

Original languageItalian
Pages (from-to)418-429
Number of pages12
JournalGiornale Italiano di Cardiologia
Volume15
Issue number7-8
Publication statusPublished - 2014

Fingerprint

Tricuspid Valve Insufficiency
Tricuspid Valve
Heart Valve Diseases
Left Ventricular Dysfunction
Natural History
Echocardiography
Dilatation
Anatomy
Research Personnel
Guidelines
Pathology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Bellavia, D., Pentiricci, S., Senni, M., & Gavazzi, A. (2014). Update sull'insufficienza tricuspidale. Giornale Italiano di Cardiologia, 15(7-8), 418-429.

Update sull'insufficienza tricuspidale. / Bellavia, Diego; Pentiricci, Samuele; Senni, Michele; Gavazzi, Antonello.

In: Giornale Italiano di Cardiologia, Vol. 15, No. 7-8, 2014, p. 418-429.

Research output: Contribution to journalArticle

Bellavia, D, Pentiricci, S, Senni, M & Gavazzi, A 2014, 'Update sull'insufficienza tricuspidale', Giornale Italiano di Cardiologia, vol. 15, no. 7-8, pp. 418-429.
Bellavia D, Pentiricci S, Senni M, Gavazzi A. Update sull'insufficienza tricuspidale. Giornale Italiano di Cardiologia. 2014;15(7-8):418-429.
Bellavia, Diego ; Pentiricci, Samuele ; Senni, Michele ; Gavazzi, Antonello. / Update sull'insufficienza tricuspidale. In: Giornale Italiano di Cardiologia. 2014 ; Vol. 15, No. 7-8. pp. 418-429.
@article{1fd9cd3a32814b66b783725609629401,
title = "Update sull'insufficienza tricuspidale",
abstract = "Although commonly detected by transthoracic echocardiography, tricuspid regurgitation (TR) has been somehow neglected, and recent data have emerged on the need for careful examination of the tricuspid valve. Functional or secondary TR is the most frequent etiology of tricuspid valve pathology in western countries and is related to tricuspid annular dilation and leaflet tethering. The prognostic role of TR associated with organic left-sided valvular heart disease is well known. However, the value of functional TR in outcome stratification of patients with advanced left ventricular dysfunction is less clear. Surgical tricuspid repair has been avoided for years, because of the misconception that TR should disappear once the primary left-sided problem is treated; this results in a large number of untreated patients with functional TR. Over the past few years, many investigators have reported evidence in favor of a more aggressive surgical approach to functional TR. Consequently, interest has been growing in the pathophysiology and treatment of functional TR. The purpose of this article is to provide a comprehensive review of TR incorporating a description of valve anatomy, etiological factors, pathophysiology, epidemiological data, natural history, clinical evaluation, along with a discussion of the important role in prognostic stratification and a summary of management guidelines.",
keywords = "Heart failure, Right ventricle, Tricuspid annulus, Tricuspid regurgitation",
author = "Diego Bellavia and Samuele Pentiricci and Michele Senni and Antonello Gavazzi",
year = "2014",
language = "Italian",
volume = "15",
pages = "418--429",
journal = "Giornale Italiano di Cardiologia",
issn = "1827-6806",
publisher = "CEPI s.r.l.",
number = "7-8",

}

TY - JOUR

T1 - Update sull'insufficienza tricuspidale

AU - Bellavia, Diego

AU - Pentiricci, Samuele

AU - Senni, Michele

AU - Gavazzi, Antonello

PY - 2014

Y1 - 2014

N2 - Although commonly detected by transthoracic echocardiography, tricuspid regurgitation (TR) has been somehow neglected, and recent data have emerged on the need for careful examination of the tricuspid valve. Functional or secondary TR is the most frequent etiology of tricuspid valve pathology in western countries and is related to tricuspid annular dilation and leaflet tethering. The prognostic role of TR associated with organic left-sided valvular heart disease is well known. However, the value of functional TR in outcome stratification of patients with advanced left ventricular dysfunction is less clear. Surgical tricuspid repair has been avoided for years, because of the misconception that TR should disappear once the primary left-sided problem is treated; this results in a large number of untreated patients with functional TR. Over the past few years, many investigators have reported evidence in favor of a more aggressive surgical approach to functional TR. Consequently, interest has been growing in the pathophysiology and treatment of functional TR. The purpose of this article is to provide a comprehensive review of TR incorporating a description of valve anatomy, etiological factors, pathophysiology, epidemiological data, natural history, clinical evaluation, along with a discussion of the important role in prognostic stratification and a summary of management guidelines.

AB - Although commonly detected by transthoracic echocardiography, tricuspid regurgitation (TR) has been somehow neglected, and recent data have emerged on the need for careful examination of the tricuspid valve. Functional or secondary TR is the most frequent etiology of tricuspid valve pathology in western countries and is related to tricuspid annular dilation and leaflet tethering. The prognostic role of TR associated with organic left-sided valvular heart disease is well known. However, the value of functional TR in outcome stratification of patients with advanced left ventricular dysfunction is less clear. Surgical tricuspid repair has been avoided for years, because of the misconception that TR should disappear once the primary left-sided problem is treated; this results in a large number of untreated patients with functional TR. Over the past few years, many investigators have reported evidence in favor of a more aggressive surgical approach to functional TR. Consequently, interest has been growing in the pathophysiology and treatment of functional TR. The purpose of this article is to provide a comprehensive review of TR incorporating a description of valve anatomy, etiological factors, pathophysiology, epidemiological data, natural history, clinical evaluation, along with a discussion of the important role in prognostic stratification and a summary of management guidelines.

KW - Heart failure

KW - Right ventricle

KW - Tricuspid annulus

KW - Tricuspid regurgitation

UR - http://www.scopus.com/inward/record.url?scp=84906854359&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84906854359&partnerID=8YFLogxK

M3 - Articolo

C2 - 25174595

AN - SCOPUS:84906854359

VL - 15

SP - 418

EP - 429

JO - Giornale Italiano di Cardiologia

JF - Giornale Italiano di Cardiologia

SN - 1827-6806

IS - 7-8

ER -