Key result
Underutilizing tricuspid interventions for severe TR risks irreversible RV damage and worse clinical outcomes.
Why the study?
Severe tricuspid regurgitation impairs survival and worsens heart failure, but patients are referred late and surgical or transcatheter interventions remain underutilised.
What is the appropriate timing and modality for surgical or transcatheter interventions in patients with severe tricuspid regurgitation?
What is the appropriate timing and modality for surgical or transcatheter interventions in patients with severe tricuspid regurgitation?
This review highlights the underutilization and late referral of patients for tricuspid valve interventions, emphasizing the need for appropriate timing to prevent irreversible right ventricular damage.
Underutilization of tricuspid interventions may lead to irreversible right ventricular damage; hypothesis-generating for optimal timing and modality in severe tricuspid regurgitation.
Severe tricuspid regurgitation (TR) worsens heart failure and is associated with impaired survival. In daily clinical practice, patients are referred late, and tricuspid valve interventions (surgical or transcatheter) are underutilised, which may lead to irreversible right ventricular damage and increases risk. This article addresses the appropriate timing and modality for an intervention (surgical or transcatheter), and its potential benefits on clinical outcomes. Ongoing randomised controlled trials will provide further insights into the efficacy of transcatheter valve interventions compared with medical treatment.
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Samim et al. (2023) conducted a review in Severe tricuspid regurgitation. Tricuspid valve interventions (surgical or transcatheter) was evaluated. Tricuspid valve interventions for severe tricuspid regurgitation are currently underutilized in clinical practice, which may lead to irreversible right ventricular damage and increased risk.
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