Parameters for tricuspid severity | Mild | Moderate | Severe |
---|---|---|---|
Anatomy of leaflets | Normal | Normal or abnormal | Abnormal, flail, noncoaptation |
HV/RA/RV size | Normal | Normal or dilated | Dilated |
Jet area (cm2) | <0.5 | >0.5 | >10 or >30% of right atrial area |
Vena contracta width (cm) | <0.2 | <0.7 | >0.7 |
Pisa radius (cm) | 0.5 | 0.6-0.9 | >0.9 |
TR jet by CWD | Soft parabolic | Dense, variable contour | Dense, triangular, early peak |
HV flow profile | S>D systolic dominance | S<D | S<0 systolic reversal |
Tricuspid inflow (cm2) | E>1 | ||
EROA (ml) | >45 | ||
Effective regurgitant volume (ml) | >45 |
HV: Hepatic vein, RA: Right atrium, RV: Right ventricle, TR: Tricuspid regurgitation, CWD: Continuous wave Doppler, EROA: Effective regurgitant orifice area