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March 8, 2026Circulation Cardiovascular Imaging3 citations

Hemodynamic and Metabolic-Inflammatory Phenotyping Across the Cardiac Index Spectrum in Moderate and Severe Tricuspid Regurgitation: Prognostic Implications

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MRMarco RacitiNBNicolò De BiaseCGCristina Giannini

Key Result

Both low and high cardiac indices identify high-risk patients with moderate and severe tricuspid regurgitation, whereas an intermediate cardiac index indicates a prognostically favorable state.

Key Points

  • This research aims to evaluate how cardiac index profiling impacts outcomes in moderate and severe tricuspid regurgitation.
  • Profiles of cardiac index were measured in patients with moderate and severe tricuspid regurgitation.
  • Patients were stratified based on low, intermediate, and high cardiac indices.
  • Outcomes were compared beyond traditional grading and staging.
  • Low and high cardiac indices identified patients at high risk of poor outcomes.
  • An intermediate cardiac index was associated with better prognostic outcomes.
  • CI profiling demonstrated potential for guiding individualized treatment strategies.

Study Design

Type

Observational

Structured PICO

Does Cardiac Index (CI) profiling predict outcomes in patients with moderate and severe tricuspid regurgitation?

P
Population
Patients with moderate and severe tricuspid regurgitation (TR)
E
Exposure
Cardiac Index (CI) profiling
O
Outcome
Clinical outcomes (not specifically defined in text)

Cardiac index profiling in moderate and severe tricuspid regurgitation exhibits a U-shaped prognostic relationship, where both low and high CIs indicate higher risk compared to an intermediate CI.

Abstract

In moderate and severe TRs, CI profiling captures cardiac and extracardiac determinants of flow and independently predicts outcomes beyond conventional TR grading and staging. Both low and high CIs identify high-risk patients, while an intermediate CI indicates a balanced, prognostically favorable state. CI profiling may refine risk stratification, guide individualized treatment strategies, and optimize patient selection and timing for tricuspid valve interventions.

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Cite This Study

Raciti et al. (2026) conducted an observational in Moderate and severe tricuspid regurgitation. Cardiac Index (CI) profiling vs. Intermediate CI was evaluated on Outcomes. Both low and high cardiac indices identify high-risk patients with moderate and severe tricuspid regurgitation, whereas an intermediate cardiac index indicates a prognostically favorable state.

synapsesocial.com/papers/69ad1387e7e9681137aa955dhttps://doi.org/10.1161/circimaging.125.019444
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