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. 2016 Jun 9;7(5):649–667. doi: 10.1007/s13244-016-0504-7

Table 2.

Grades of tricuspid regurgitation in echocardiography [10]

Mild Moderate Severe
Effective regurgitant orifice (mm2) Undefined Undefined 40
Regurgitation volume (ml) Undefined Undefined >45
Vena contracta width (mm) Undefined <7 ≥7
PISA radius (mm) ≤5 6–9 >9
Hepatic vein inflow Systolic dominance Systolic blunting Systolic reversal
Tricuspid inflow Normal Normal E-wave-dominant
Morphology Normal/abnormal Normal/abnormal Abnormal/flail/large coaptation defect
Jet Small, central Moderate Large central/eccentric and wall-impinging
Continuous-wave Doppler jet signal Faint/parabolic Dense/parabolic Dense/triangular with early peaking

PISA proximal isovelocity surface area