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Heart Disease  (Expert Forum)
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Tricuspid Valve Regurgitation
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Tricuspid Valve Regurgitation

by Alex__0, Jan 01, 1995 12:00AM
Posted By Alex on May 06, 1999 at 21:20:45
Hello:
I am a 20-year old male, non-smoker, currently a junior in college.  Last December, I started experiencing chest pains and discomfort, mostly on the sides of the rib cage.  The pain, however, was not concentrated to one area as it constantly changed locations on the chest.  The doctor wasn't able to hear anything through the sthetoscope and attributed the pain to chest wall pain and put be on a regimen of Advil.  The pain is rather dull and comes and goes throughout the day.  It does not wake me up during my sleep.  The pain disppeared within days.  Two weeks ago, the pains were back.  A different doctor at the school clinic listened to my heart and lungs and couldn't make a diagnostic.  He also attributed the pains to chest wall inflammation and put me on Advil.  However, he did hear a "significant" heart murmur (first time it was heard by any doctor).  He said that the murmur was most likely not benign, possibly aortic in nature.
He recommended I see a cardiologist.  BTW, my mom did have her mitral valve replaced.  Yesterday, I went home to see a cardiologist.  He did an EKG, Echocardiogram, and Stress Test (13 min.).
He said that my heart structure was fine but diagnosed "Mild to Moderate" tricuspid valve regurgitation or leakage.  The echo report were the following:
-nl RV + LUSF
-nl heart size and wall thickness
-nl regional wall motion
-nl structure/AV MV TV + PV
-no MVP
-No pericardial infusion
-mild to moderate TR
There were a whole bunch of measurements numbers which all fell within "adult values".  The stress test report mentioned:
-maximal exercise stress test
-no chest pains
-no hemodynamics
-no ischemic EKG
-good exercise effort
-this is a normal exercise stress test.

He told me that the leakage was slightly above inviduals my age but gave me the impression not to worry about it.  He gave me no exercise restrictions and no medication.  He also told me to come back in a year for another follow up echo.  He concluded that my chest pains were not due to the heart but were most likely skeletal/muscular in nature and to take ibufrofen.  My questions are:
-What are the long term effects of mild to moderate regurgitation?  Will surgery be required in the future?  Is there any medication to cure such
disease?
-Does it get worse?  Does it get better?
-What could cause the chest pains?  Stress?
Thanks for your help!  And sorry for the long message.










Follow Ups:


Re: Tricuspid Valve Regurgitation CCF CARDIO MD - MTR 5/07/1999
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Re: Tricuspid Valve Regurgitation Alex 5/06/1999
(3)

Tricuspid Valve Regurgitation CCF CARDIO MD - MTR 5/07/1999
(2)

Re: Tricuspid Valve Regurgitation Alex 5/08/1999
(1)

Tricuspid Valve Regurgitation CCF CARDIO MD - MTR 5/10/1999
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