This review highlights the ambiguous clinical manifestations, diagnostic limitations, and lack of objective criteria for therapeutic intervention in the management of tricuspid regurgitation.
This review highlights the clinical challenges in managing tricuspid regurgitation, including delayed diagnosis and high operative risks, and discusses future strategies for improvement.
Although tricuspid regurgitation (TR) is a general medical issue with growing prevalence and socioeconomic burden, most clinicians have not paid much attention to TR in the past. Several problems of TR have been pointed out in clinical practice, which include: ambiguous clinical manifestations and the difficulty in initial detection, limitations in generally used diagnostic tools, the absence of objective criterion for therapeutic intervention, high operative morbidity and mortality, and lack of long-term clinical data after the intervention for TR. Therefore, patients with TR usually visit clinicians at a much-advanced state, and this delay gives a major dilemma in clinical decision-making in a routine clinical practice. To improve the clinical outcome of TR, we need more knowledge about TR for solving the current problems and making strategies for better clinical practice. With this background, we have discussed in the present article about the pathophysiology of TR and the problems frequently experienced by clinical physicians in the diagnosis and treatment of TR. Furthermore, we have discussed the future strategy to improve the treatment of TR.
Sun et al. (Sat,) conducted a review in Tricuspid regurgitation. This review highlights the ambiguous clinical manifestations, diagnostic limitations, and lack of objective criteria for therapeutic intervention in the management of tricuspid regurgitation.