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Symptoms and Signs – Differential Diagnosis of Tricuspid regurgitation
Congenital: Ebstein's anomaly (malpositioned tricuspid valve), cleft tricuspid valve in ostium primum ASD
Infective endocarditis (common in IV drug users)
Rheumatic heart disease (associated with tricuspid stenosis or other vavular
disease)
Carcinoid syndrome, cirrhosis (long-standing), Drugs: fenfluramine,
methysergide, endomyocardial fibrosis (may be associated with
hypereosinophilia)
Functional: consequence of right ventricular dilatation (e.g. in pulmonary
hypertension, myocardial infarction), valve prolapse (e.g. in Marfan's
syndrome)
Iatrogenic: radiotherapy
Congenital: Ebstein's anomaly (malpositioned tricuspid valve), cleft tricuspid valve in ostium primum ASD
Infective endocarditis (common in IV drug users)
Rheumatic heart disease (associated with tricuspid stenosis or other vavular
disease)
Carcinoid syndrome, cirrhosis (long-standing), Drugs: fenfluramine,
methysergide, endomyocardial fibrosis (may be associated with
hypereosinophilia)
Functional: consequence of right ventricular dilatation (e.g. in pulmonary
hypertension, myocardial infarction), valve prolapse (e.g. in Marfan's
syndrome)
Iatrogenic: radiotherapy
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