Tricuspid Regurgitation in Children: A Pulsed Doppler, Contrast Echocardiographic and Angiographic Comparison

Gerard R. Martin, Norman H. Silverman, Scott J. Soifer, William A. Lutin, Sarah A. Scagnelli

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Abstract

Thirty-one children with congenital heart disease were examined for tricuspid regurgitation by four methods: (1) auscultation, (2) pulsed Doppler echocardiography, (3) saline contrast echocardiography, and (4) right ventricular angiography. Tricuspid regurgitation was detected in three children by auscultation, in 20 by pulsed Doppler echocardiography, in 21 by saline contrast echocardiography, and in 20 by right ventricular angiography. To determine the prevalence of tricuspid regurgitation in children suspected of having congenital heart disease, we reviewed 5417 Doppler echocardiograms performed between 1983 and 1985. Tricuspid regurgitation was detected in 399 of 4670 children (8.5%) with congenital heart disease and in 26 of 106 newborns (25%) with respiratory distress. By comparison, tricuspid regurgitation was detected in only 19 of 641 (3%) normal children. Tricuspid regurgitation is uncommon in normal children, but its incidence in children with congenital heart disease and/or respiratory distress is high.

Original languageEnglish (US)
Pages (from-to)257-263
Number of pages7
JournalJournal of the American Society of Echocardiography
Volume1
Issue number4
DOIs
StatePublished - Jan 1 1988

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ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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