Abnormal EKG,shows Mild Tricuspid Valve Regurgitation,elevated Right Ventricular End-diastolic Pressure. Implications?

Posted on Mon, 3 Oct 2011

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 3 Oct 2011 Answered on

Sat, 9 Jun 2012 Last reviewed on

Question : I am 53 year old female 5'5" , 120 lbs. Due to an abnormal EKG, I had an echo which revealed mild tricuspid valve regurgitation and slightly elevated right ventricular end-diastolic pressure. Other echo findings were normal. I am asympomatic and tolerate exercise well. What does this result imply.

Answered by Dr. Gopi A (10 hours later)

Hi,

Thank you for posting you query.

I understand your health concern.

I have gone through your description, mild tricuspid regurgitation on echo without any other structural abnormalities is not an uncommon finding, and has no adverse implications.

I am not sure on what basis they have determined that the right ventricular end diastolic pressure is high. In my opinion i would ignore the last comment, because the sensitivity of that measurement is not very high and in a person with mild tricuspid regurgitation, I do not expect the RVEDP (Right ventricular end diastolic pressure) to be high.

Essentially I think your cardiac status is normal and the only precaution i would advise is to repeat an echo after one year and if the finding is similar repeat it once in two years.

Hope I have answered your query, please do get back to me if you have any further queries.

With regards,

Dr. A. Gopi.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Gopi A (3 hours later)

Actually it was the right ventricular end systolic not diastolic pressure that was slightly elevated.

Answered by Dr. Gopi A (16 hours later)

Hi,
Thanks for the follow up.

If it was the systolic pressure please let me know the exact value as that would help me to asses the situation better.

Wishing you good health.

Dr. Gopi

Above answer was peer-reviewed by : Dr. Radhika