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Background: TR is associated with increased mortality and morbidity [1] Current guidelines suggest concomitant tricuspid valve surgery at the time of left sided valve surgery [2] However, most patients with severe TR are managed conservatively This is a retrospective study to assess clinical outcomes of patients with severe TR Method: 9507 transthoracic echocardiograms performed on adult patients at Waikato Hospital from August 2018 - July 2019 were analysed for clinical and demographic data Results: 124 patients had severe TR, with secondary TR occurring in 94 4%(n=117) Baseline characteristics were as follows: Table 1 Baseline Characteristics [Formula presented] 22 6%(n=28) of patients died in the study period (14 during hospital admission and 11 within 3 months of discharge) Average length of hospitalisation was 14±12 4 days 50 8%(n=63) were rehospitalised within the study period 19 4%(n=24) had >2 admissions 28 3%(n=35) underwent previous cardiac surgery 0 8%(n=1) underwent tricuspid valve surgery 58 1%(n=72) had right ventricular dysfunction 12 1%(n=15) had hepatic congestion Māori had higher pulmonary hypertension (p=0 03) and lower left ventricular ejection fraction (p=0 03) Conclusion: Despite significant morbidity and mortality, patients with severe TR are not offered definitive intervention Māori patients are associated with higher predictors of mortality
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Heart_Lung_and_Circulation
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?:title
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Clinical Outcomes in Patients With Severe Tricuspid Regurgitation (TR)
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