End-stage Renal Disease and Hypertension



End-stage Renal Disease and Hypertension





A 73-year-old man with end-stage renal disease due to long-standing hypertension has a routine echocardiogram performed, and the images in Figures 70-1 and 70-2 are recorded.






Figure 70-1.






Figure 70-2.



QUESTION 1. What is the valvular lesion and its severity?


A. Mitral regurgitation, moderate

B. Mitral regurgitation, severe

C. Tricuspid regurgitation, moderate

D. Tricuspid regurgitation, severe

View Answer

ANSWER 1: D. The Doppler shows a TR jet that is both holosystolic and quite dense. There is systolic flow reversal in the hepatic vein. These are consistent with severe TR.



QUESTION 2. All of the following are correct regarding various measures of tricuspid regurgitation (TR) severity except:

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Jul 15, 2016 | Posted by in CARDIOLOGY | Comments Off on End-stage Renal Disease and Hypertension

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