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. 2023 Oct 4;44(43):4508–4532. doi: 10.1093/eurheartj/ehad653

Figure 3.

Figure 3

Progression of TR and Right Heart Failure

Tricuspid regurgitation (TR) of any etiology results in maladaptive dilatation of the right ventricle, which can subsequently result in further annular dilatation and tethering of the leaflets. A vicious cycle then ensues until, late in the disease, the reduced cardiac output results in signs and symptoms of right heart failure.