PMID- 20583402
DCOM- 20100726
LR  - 20161125
IS  - 0966-8519 (Print)
IS  - 0966-8519 (Linking)
VI  - 19
IP  - 3
DP  - 2010 May
TI  - Rheumatic tricuspid valve disease: an evidence-based systematic overview.
PG  - 374-82
AB  - BACKGROUND AND AIM OF THE STUDY: Right-sided valve abnormalities are less common 
      than their left-sided counterparts. Furthermore, whilst organic rheumatic
      involvement of the tricuspid valve is not uncommon, it receives less attention
      than left-sided heart valves. An evidence-based systematic overview was carried
      out to assess the epidemiology, diagnosis and management of organic rheumatic
      tricuspid valve disease (RTVD) over the past half century. METHODS: A computed
      search spanning more than four decades was conducted to identify articles on
      various aspects of RTVD. The bibliographies of all relevant articles were also
      searched. RESULTS: A total of 2,497 rheumatic heart disease patients (mean age
      25.5 years; female:male ratio 1.3:1) was included. RTVD was detected in 193
      patients (7.7%). Echocardiography was used to detect tricuspid valve involvement 
      in all patients. Associated mitral valve disease was present in 99.3% of the
      patients with RTVD. A total of 1,092 patients (mean age 45.4 years) was included 
      from six studies on surgical correction of the tricuspid valve. Of these
      patients, 278 (25.4%) underwent tricuspid valve replacement, while 814 (74.5%)
      had tricuspid valve repair. The in-hospital mortality was 9.9%, and late
      mortality 33.2% CONCLUSION: RTVD is not uncommon among patients with rheumatic
      heart disease, but attracts less attention and might, therefore, be overlooked.
      Echocardiography is the most common diagnostic tool. Although indications for
      surgical intervention are not well defined, valve repair may have a better
      outcome than replacement.
FAU - Sultan, Fateh Ali Tipoo
AU  - Sultan FA
AD  - Section of Cardiology, Aga Khan University Hospital, Karachi, Pakistan.
FAU - Moustafa, Sherif E
AU  - Moustafa SE
FAU - Tajik, Jamil
AU  - Tajik J
FAU - Warsame, Tahlil
AU  - Warsame T
FAU - Emani, Usha
AU  - Emani U
FAU - Alharthi, Mohsen
AU  - Alharthi M
FAU - Mookadam, Farouk
AU  - Mookadam F
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - J Heart Valve Dis
JT  - The Journal of heart valve disease
JID - 9312096
SB  - IM
MH  - Adult
MH  - Echocardiography, Doppler
MH  - Female
MH  - Heart Valve Diseases/diagnostic imaging/epidemiology/*surgery
MH  - *Heart Valve Prosthesis Implantation
MH  - Humans
MH  - Male
MH  - Rheumatic Heart Disease/diagnostic imaging/epidemiology/*surgery
MH  - Tricuspid Valve/*surgery
RF  - 45
EDAT- 2010/06/30 06:00
MHDA- 2010/07/27 06:00
CRDT- 2010/06/30 06:00
PHST- 2010/06/30 06:00 [entrez]
PHST- 2010/06/30 06:00 [pubmed]
PHST- 2010/07/27 06:00 [medline]
PST - ppublish
SO  - J Heart Valve Dis. 2010 May;19(3):374-82.