Tricuspid Regurgitation

Introduction

Tricuspid Regurgitation

Welcome to the cardiac surgery urgency assessment tool for Tricuspid Regurgitation (9071).

This implementation is a temporary work around replacing the old CPS tool which ‘died’ sooner and more completely than expected.

It is planned that a more comprehensive, user friendly, environment will be created to improve the utility and look and feel. The goal is to ensure all patients undergoing elective or urgent cardiac surgery, and soon cardiological intervention, will be scored consistently.

Prioritisation

Tricuspid Regurgitation

Valve severity
  • (No additional information)
  • (VC > 0.7cm and systolic flow reversal hepatic veins)
  • (No additional information)
Symptoms related to the valve disease
  • (NYHA IIa, angina CCS I or presyncope)
  • (NYHA IIb or NYHA III, angina CCS II-III or syncope or recurrent presyncope, or requiring diuretic treatment for heart failure)
  • (On maximal ℞ for heart failure, unstable angina despite maximal ℞, recurrent syncope)
Cardiac dysfunction
  • (Severe RV dysfunction)
  • (e.g. Early LV dysfunction but EF>50%, severe LVH, Nt-BNP>300pg/ml or BNP>100pg/ml or >1.5X increase/year, abnormal TDI [No additional infomation])
  • (LVEF 40-50% or Definite heart failure level BNP [No additional infomation])
  • (LVEF < 40%, doubling of a definite heart failure level BNP [No additional infomation])
Disease progression
  • (No additional information)
  • ((> 15% deterioration in 2 measures over ≤ 1 year) (No additional infomation)])
Additional AHA/ACC/ESC class 1 indication for surgery
Euroscore

Calculate Euroscore   (opens in new tab)