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Updated: Jun 4, 2025
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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
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Tricuspid valve: Once disregarded, now acknowledged
Eshan Ashcroft1, Ian Beeton2, Pankaj Sharma3
1Royal Holloway University of London and Ashford & St Peters NHS Foundation Trust, UK.
International Journal of Cardiology. Congenital Heart Disease
|December 23, 2024
Summary
This review highlights the right heart (RH) as a functional unit and examines tricuspid regurgitation (TR) classifications. It explores the potential for a "pacing lead TR" subtype and current treatment strategies for RH disease.
Area of Science:
- Cardiology
- Cardiac Physiology
- Echocardiography
Background:
- The Tricuspid Valve (TV) and right heart (RH) diseases have gained significant clinical and research attention.
- Understanding the RH as a single functioning unit under various loading conditions is crucial.
Purpose of the Study:
- To review the importance of the right heart (RH) and its diseases.
- To examine the current tricuspid regurgitation (TR) classification model.
- To explore the potential for a distinct "pacing lead TR" subtype.
Main Methods:
- Literature review focusing on right heart function and tricuspid regurgitation.
- Analysis of current TR classification systems.
- Discussion of treatment strategies and outcomes.
Main Results:
- The RH functions as an integrated unit under normal and altered conditions.
- Current TR classification may require refinement to include pacing-induced TR.
- TR significantly impacts patient outcomes and influences treatment decisions.
Conclusions:
- A comprehensive understanding of the RH is essential for managing TV and RH diseases.
- Further research is warranted to investigate "pacing lead TR" as a distinct entity.
- This review provides insights for clinicians managing patients with TR and RH dysfunction.
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