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Exacerbation of Pulmonic Regurgitation by Diastolic Tricuspid Regurgitation
Author(s) -
Fan Dali,
Makaryus John N.,
Wassef Bishoy,
Suma Valentin,
Masry Mina,
Makaryus Amgad N.
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12673
Subject(s) - cardiology , medicine , diastole , regurgitation (circulation) , exacerbation , mitral regurgitation , expiration , blood pressure , respiratory system
Few cases of diastolic mitral regurgitation ( MR ) and tricuspid regurgitation ( TR ) have been reported in the world literature. We report the case of a 63‐year‐old woman admitted for syncope, with a permanent pacemaker following complete heart block. Echocardiography revealed that the timing of the diastolic TR (and noted MR ) coincided with the second phase of the pulmonic insufficiency ( PI ) jet. The respirometer revealed that the diastolic TR and the second phase of the PI are highly sensitive to respiration (attenuated with inspiration and exacerbated with expiration). The uniqueness of this case is the rare occurrence of the exacerbation of PI as the result of diastolic TR .