Mid-term outcome of severe tricuspid regurgitation: are there any differences according to mechanism and severity?

• Published in: European heart journal cardiovascular imaging 2019-09, Vol.20 (9), p.1035-1042
• Main Authors: Santoro, Ciro, Marco del Castillo, Alvaro, González-Gómez, Ariana, Monteagudo, Juan Manuel, Hinojar, Rocio, Lorente, Alvaro, Abellás, María, Vieitez, Jose Maria, Garcia Martìn, Ana, Casas Rojo, Eduardo, Ruíz, Soledad, Barrios, Vivencio, Luis Moya, Jose, Jimenez-Nacher, Jose Julio, Zamorano Gomez, Jose Luis, Fernández-Golfín, Covadonga
• Format: Article
• Language: English
• ISSN: 2047-2404; 2047-2412
• DOI: 10.1093/ehjci/jez024

Abstract Aims Patients with significant tricuspid regurgitation (TR) addressed according the new classification in torrential TR may have different prognosis compared with just severe TR patients. We sought to determine distribution and mechanism of consecutive severe TR patients, in accordance with aetiology and severity by applying the new proposed classification scheme and their long-term outcomes. Methods and results Between January and December 2013, 249 patients with significant TR referred to the cardiac imaging unit (mean age 79.9 ± 10.2 years; 29.8% female) were included. Patients were divided according to aetiology in six groups, and TR severity was reclassified into severe, massive, and torrential TR. The follow-up period was of 313 ± 103 days. When considering cardiovascular mortality, patients in the massive/torrential group showed the highest number of events (P