Tricuspid regurgitation, right ventricular function, and renal congestion: a cardiorenal triangle

Frontiers in Cardiovascular Medicine

Cardiovascular Medicine

Marta Farrero¹  Ilana Forado-Benatar¹  Joan Guzman-Bofarull¹  Pedro Caravaca-Pérez¹  José Jesús Broseta²  Elena Cuadrado-Payán²  Diana Rodriguez-Espinosa²  Yasbanoo Moayedi³ 

[1] Department of Cardiology, Hospital Clínic of Barcelona, Barcelona, Spain;Department of Nephrology and Renal Transplantation, Hospital Clínic of Barcelona, Barcelona, Spain;Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre, University Health Network, Toronto, ON, Canada;

关键词: tricuspid regurgitation;    right ventricular function;    heart failure;    abdominal congestion;    cardiorenal;    diuretic resistance;    ultrafiltration;   

DOI  :  10.3389/fcvm.2023.1255503

 received in 2023-07-08, accepted in 2023-09-18,  发布年份 2023

来源: Frontiers

【 摘 要 】

There is a growing interest in the evaluation of tricuspid regurgitation due to its increasing prevalence and detrimental impact on clinical outcomes. Historically, it has been coined the “forgotten” defect in the field of valvular heart disease due to the lack of effective treatments to improve prognosis. However, the development of percutaneous treatment techniques has led to a new era in its management, with promising results and diminished complication risk. In spite of these advances, a comprehensive exploration of the pathophysiological mechanisms is essential to establish clear indications and optimal timing for medical and percutaneous intervention. This review will address the most important aspects related to the diagnosis, pathophysiology and treatment of tricuspid regurgitation from a cardiorenal perspective, with a special emphasis on the interaction between right ventricular dysfunction and the development of hepatorenal congestion.

【 授权许可】

Unknown   
© 2023 Forado-Benatar, Caravaca-Pérez, Rodríguez-Espinosa, Guzman-Bofarull, Cuadrado-Payán, Moayedi, Broseta and Farrero.