How is Tricuspid Valve Regurgitation Diagnosed?

Diagnosis

Tricuspid valve regurgitation can occur without causing symptoms and is often caught by a doctor while performing tests for a different reason. If your doctor suspects you may have tricuspid regurgitation, there are several tests they may perform to reach a diagnosis, including:

  • Transthoracic echocardiogram (TTE) - By moving an instrument that produces sound waves over the chest and abdomen, a technician can obtain views of the heart
  • Cardiac magnetic resonance imaging (MRI) - A technician uses magnetic fields and radio waves to create a detailed image of the heart and determine the condition of the chambers and valves
  • Electrocardiogram (ECG) - A technician places electrodes on the chest, which use electrical activity to create an image of the heart
  • Chest X-ray - A chest X-ray can show the condition of both the heart and lungs, which can offer information on the heart’s level of function
  • Cardiac catheterization - By inserting a catheter into a blood vessel and guiding it to the heart, a doctor can see blood vessels more clearly thanks to the dye inside of the catheter

How is Tricuspid Valve Regurgitation Treated?

Treatments

Depending on the severity of the condition, your doctor may recommend one or more options for treatment. Tricuspid valve regurgitation treatment options include:

  • Regular monitoring - In mild and some moderate cases of tricuspid regurgitation, your doctor may choose to monitor your condition with regular appointments to watch for any changes
  • Medication - Diuretics may be used to prevent water retention and remove extra fluids from the body, while other medications can be prescribed to treat arrhythmia (irregular heartbeat)
  • Tricuspid valve repair or replacement - During a tricuspid valve repair surgery, a doctor patches holes or tears in the valve and may reshape or remove tissue to ensure the valve can close tightly. If the valve cannot be repaired, your doctor will replace your tricuspid valve with one made from cow or pig tissue or with a mechanical valve. If you receive a mechanical valve, you will be prescribed blood-thinning medication. These procedures may be performed during open-heart surgery or by way of a catheter through an artery.

FAQs

FAQs

Tricuspid valve regurgitation cases range from mild to severe. The more severe the blood flow backward into your atrium, the more serious the case. Early diagnosis and treatment can help prevent the problem from worsening.

Tricuspid valve regurgitation is relatively common—approximately 1.6 million adults have moderate or severe cases in the U.S. It is the most common problem affecting the tricuspid valve.

Progression of tricuspid valve regurgitation can occur at different rates in different people. Some people’s conditions may never progress, while others may experience rapid progression. If you have tricuspid valve regurgitation, monitoring the situation with your doctor and attending any recommended screening appointments is important.

Get Care

Trust NewYork-Presbyterian for Tricuspid Valve Regurgitation Care

The interdisciplinary cardiac care team at NewYork-Presbyterian has years of experience identifying and successfully treating tricuspid valve regurgitation. With a commitment to informed and compassionate care, our doctors can help you feel empowered to make decisions about your health.