Tricuspid Valve Regurgitation: Symptoms, Monitoring, and Concerns

Cardiac issues

A few years ago, I was diagnosed with a heart murmur, and the doctor noted it as Tricuspid Valve Regurgitation Mild Systolic at Apex & RSB.
I would like to ask: 1.
Does this refer to tricuspid valve regurgitation? 2.
Does this require regular follow-up examinations? 3.
Sometimes when I visit the doctor for a cold, it seems that the doctor does not mention the heart murmur; does this mean that it is no longer present? 4.
Recently, I have been experiencing palpitations after breakfast, which usually disappear after about ten minutes; is this related? Thank you for your patient response, doctor!

Winnie, 20~29 year old female. Ask Date: 2006/09/12

Dr. He Dongjin reply Cardiology

Dear Winnie,
This refers to mild tricuspid regurgitation.
Indeed, this type of heart murmur is very subtle and may be difficult to detect upon auscultation.
However, it is unlikely to completely resolve.
The palpitations you are experiencing are more likely related to autonomic nervous system dysregulation and may not be directly associated with this condition.
It is advisable for you to have regular follow-up appointments annually.
Thank you for your letter, and we appreciate your concern at Changhua Hospital.

Reply Date: 2006/09/12

More Info

Tricuspid valve regurgitation (TR) is a condition where the tricuspid valve does not close properly, allowing blood to flow backward from the right ventricle into the right atrium during systole (the contraction phase of the heart). This can lead to various symptoms and requires monitoring to assess its progression and impact on heart function. Let's address your questions one by one.

1. Does this refer to tricuspid valve regurgitation?
Yes, "Tricuspid Valve Regurgitation Mild Systolic at Apex & RSB" indicates that there is mild regurgitation of the tricuspid valve. The term "systolic" refers to the phase of the heartbeat when the heart muscle contracts and pumps blood. The apex refers to the tip of the heart, and RSB stands for the right sternal border, which is a common area where heart sounds can be auscultated.

2. Does this require regular follow-up?
Yes, regular follow-up is generally recommended for patients with tricuspid valve regurgitation, even if it is classified as mild. The frequency of monitoring depends on various factors, including the severity of the regurgitation, the presence of symptoms, and any underlying heart conditions. Your healthcare provider may recommend echocardiograms at regular intervals to assess the function of the heart and the severity of the regurgitation over time.

3. If doctors sometimes do not mention the heart murmur, does it mean it is no longer present?
Not necessarily. The presence of a heart murmur can vary depending on several factors, including the patient's position, the time of the examination, and the doctor's ability to hear it. If your doctor does not mention a murmur during some visits, it could mean that it is less pronounced or not detectable at that time. However, it is essential to communicate any concerns you have with your healthcare provider, as they can provide clarity on your specific situation.

4. Could recent palpitations after breakfast be related?
Palpitations can occur for various reasons, including anxiety, caffeine intake, or even digestive issues. If you are experiencing palpitations after eating, it could be related to several factors, such as the type of food consumed, the volume of food, or even the body's response to digestion. While mild tricuspid regurgitation itself may not directly cause palpitations, it is essential to discuss these symptoms with your healthcare provider. They may want to evaluate your heart function further, especially if the palpitations are new or have changed in frequency or intensity.

In summary, tricuspid valve regurgitation is a condition that requires monitoring, and regular follow-ups with your healthcare provider are essential to ensure that any changes in your condition are addressed promptly. If you have concerns about your symptoms, such as palpitations or the presence of a heart murmur, do not hesitate to bring them up during your next appointment. Your healthcare provider can provide personalized advice and determine if any further evaluation or treatment is necessary.

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Dear Frog, please promptly return to your physician for a follow-up appointment to assess any changes in your condition. Thank you for your letter and for your concern from Changhua Hospital.