Why the study?
How frequently is tricuspid insufficiency diagnosed clinically versus hemodynamically in patients with mitral stenosis?
Population
n=146 patients with mitral stenosis studied by cardiac catheterization
Design
Case_series
Authors
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Clinical underdiagnosis of tricuspid insufficiency in mitral stenosis may affect management decisions; Level 5 data leaves open the role of routine hemodynamic evaluation.
How frequently is tricuspid insufficiency diagnosed clinically versus hemodynamically in patients with mitral stenosis?
Classic clinical manifestations of tricuspid insufficiency are infrequent, suggesting that clinical diagnosis alone misses the majority of cases identified by hemodynamic assessment.
Sepúlveda et al. (1955) studied this question.
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