Related Experiment Video
Updated: Jun 11, 2026
10:39
Rat Model of Right-Sided Cardiac Remodeling and Arrhythmia Using Pulmonary Artery Banding
Published on: August 30, 2024
Rheumatic tricuspid valve disease: an evidence-based systematic overview
Fateh Ali Tipoo Sultan1, Sherif E Moustafa, Jamil Tajik
1Section of Cardiology, Aga Khan University Hospital, Karachi, Pakistan.
The Journal of Heart Valve Disease
|June 30, 2010
Summary
Rheumatic tricuspid valve disease (RTVD) affects 7.7% of rheumatic heart disease patients and is often overlooked. Echocardiography is key for diagnosis, and while surgical indications are unclear, valve repair may offer better outcomes than replacement.
Area of Science:
- Cardiology
- Valvular Heart Disease
- Rheumatic Heart Disease
Background:
- Right-sided valve abnormalities are less common than left-sided ones.
- Organic rheumatic tricuspid valve disease (RTVD) is often overlooked compared to left-sided valve conditions.
- This study provides a systematic overview of RTVD epidemiology, diagnosis, and management.
Purpose of the Study:
- To assess the epidemiology, diagnosis, and management of organic rheumatic tricuspid valve disease (RTVD).
- To highlight the underattention RTVD receives in clinical practice and literature.
- To review treatment outcomes for RTVD over the past 50 years.
Main Methods:
- A systematic literature search was conducted for articles on RTVD over four decades.
- Bibliographies of relevant articles were also searched to ensure comprehensive data collection.
- Data from rheumatic heart disease patients and surgical correction studies were analyzed.
Main Results:
- Rheumatic tricuspid valve disease (RTVD) was detected in 7.7% of 2,497 rheumatic heart disease patients.
- Echocardiography was the primary diagnostic tool for tricuspid valve involvement.
- In surgical cases, tricuspid valve repair (74.5%) was more common than replacement (25.4%), with significant in-hospital and late mortality rates.
Conclusions:
- Rheumatic tricuspid valve disease (RTVD) is a significant condition within rheumatic heart disease that may be underdiagnosed.
- Echocardiography is the standard diagnostic method for RTVD.
- While surgical intervention indications require further definition, tricuspid valve repair appears to yield better outcomes than replacement.
Related Concept Videos
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
01:23Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
01:21Rheumatic Heart Disease III: Medical Management
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
01:20Rheumatic Heart Disease IV: Nursing Management
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:22Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.