Tricuspid Regurgitation: Right Ventricular Volume Versus Pressure Load.

IF 3.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Heart Failure Reports Pub Date : 2023-06-01 Epub Date: 2023-04-26 DOI:10.1007/s11897-023-00599-w

Robert Naeije, Khodr Tello, Michele D'Alto

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Abstract

Purpose of the review: Tricuspid regurgitation is associated with increased mortality in proportion to right ventricular adaptation to increased volume loading and pulmonary artery pressure. We here review recent progress in the understanding of right ventricular adaptation to pre- and after-loading conditions for improved recommendations of tricuspid valve repair.

Recent findings: Trans-catheter tricuspid valve repair has made the correction of tricuspid regurgitation more easily available, triggering a need of tighter indications. Several studies have shown the feasibility and relevance to the indications of tricuspid valve repair of imaging of right ventricular ejection fraction measured by magnetic resonance imaging or 3D-echocardiography, and the 2D-echocardiography of the tricuspid annular plane systolic excursion to systolic pulmonary artery pressure ratio combined with invasively determined mean pulmonary artery pressure and pulmonary vascular resistance. Improved definitions of right ventricular failure and pulmonary hypertension may be considered in future recommendations on the treatment of tricuspid regurgitation.

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三尖瓣反流：右心室容量与压力负荷。

综述的目的：三尖瓣反流与死亡率的增加有关，这与右心室对增加的容量负荷和肺动脉压力的适应性成正比。在此，我们回顾了在了解右心室对负荷前和负荷后条件的适应性方面的最新进展，以改进三尖瓣修复的建议：最近的研究结果：经导管三尖瓣修复术使三尖瓣反流的矫治变得更加容易，从而引发了对更严格适应症的需求。多项研究表明，通过磁共振成像或三维超声心动图测量右心室射血分数，以及通过二维超声心动图测量三尖瓣环平面收缩期偏移与收缩期肺动脉压的比值，并结合有创测定的平均肺动脉压和肺血管阻力，对三尖瓣修复术的适应症具有可行性和相关性。在未来的三尖瓣反流治疗建议中，可考虑改进右心室衰竭和肺动脉高压的定义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Heart Failure Reports Medicine-Emergency Medicine

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of heart failure. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as investigative, pharmacologic, and nonpharmacologic therapies, pathophysiology, and prevention. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.