Valvular & structural heart disease
Tricuspid Regurgitation: Frequency, Clinical Presentation, Management and Outcome Among Patients with Severe Left-Sided Valvular Heart Disease in Europe. Insights from the ESC-EORP Valvular Heart Disease II Survey
Authors' conclusion
In this large international prospective survey among patients with severe left-sided VHD, moderate/severe TR was frequent in patients with mitral valve disease and was associated with a poorer outcome as TR grade increased. In patients with severe TR, compliance to guidelines for class I indications for concomitant TV surgery at the time of left-sided heart valve surgery was very good.
Study context
- Population
- Patients with severe native left-sided valvular heart disease (VHD) or previous left-sided valvular intervention, Europe
- Participants
- 6,883 patients
- Outcome
- TR frequency, management and outcome
Methodological detailsinternational, EURObservational Research Programme
- International
- EURObservational Research Programme
Main finding
As reported in the abstract
- Increasing tricuspid regurgitation (TR) grade associated with more severe clinical presentation and poorer 6-month survival
- P < 0.0001
Observational data: associations, not effects.
Further findings
Concomitant TV intervention at mitral valve surgery
Concordance of guideline class I indications (severe TR) for concomitant tricuspid valve (TV) surgery with real-practice decisions
- Overall
- 88%
- Operated on for MR
- 95%
Original publication
Summarised from the published abstract; every number is checked against it