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Tricuspid Valve Abnormalities

Tricuspid valve abnormalities are problems with the structure of the heart valve that is located between the upper right and lower right chambers. The tricuspid valve may not form correctly or not form at all during fetal growth.

Tricuspid valve abnormalities can interfere with normal blood flow. A normal tricuspid valve keeps the blood flowing in one direction to the lungs. Blood needs to take up oxygen from the lungs before the left side of the heart sends it throughout the body.

Examples of tricuspid valve abnormalities include tricuspid atresia and Ebstein's anomaly. Some babies who are born with an abnormal tricuspid valve have other heart problems that help them survive. These other problems help the heart get oxygen-rich blood to body tissues.

What is tricuspid valve regurgitation?

The tricuspid valve controls the flow of blood between the upper right chamber of the heart (right atrium) and the lower right chamber (right ventricle). Tricuspid valve regurgitation happens when the valve can't close all the way. This lets blood leak backward (regurgitate) into the right atrium.

Small leaks may not cause problems. More severe leaks can weaken the heart over time, so it can't pump as much blood as your body needs (heart failure).

This condition can be caused by a health problem that damages or changes the shape of the tricuspid valve. Examples may include other heart valve diseases, rheumatic disease, a blood clot in a lung, or heart problems you were born with.

You may not have symptoms. Or you might:

  • Feel tired and weak.
  • Have shortness of breath.
  • Have a bloated belly.
  • Have swelling in the legs, ankles, and feet.

Your doctor may check your heart regularly. The doctor will likely recommend a heart-healthy lifestyle. You may take medicine to treat a problem that is causing, or was caused by, the regurgitation. If the disease becomes severe, you may choose to have the valve repaired or replaced.

How can you care for yourself when you have tricuspid valve regurgitation?
  • Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. You will get more details on the specific medicines your doctor prescribes.
  • Watch for new or worse symptoms.
  • Eat heart-healthy foods. These include vegetables, fruits, nuts, beans, lean meat, fish, and whole grains. Limit sodium, sugar, and alcohol.
  • Be active. Ask your doctor what type and level of exercise is safe for you. Let your doctor know if your ability to exercise changes.
  • Try to quit or cut back on using tobacco and other nicotine products. This includes smoking and vaping. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. Try to avoid secondhand smoke too.
  • Stay at a weight that's healthy for you. Talk to your doctor if you need help with this.
  • Try to get 7 to 9 hours of sleep each night.
  • Manage other health problems. If you think you may have a problem with alcohol or drug use, talk to your doctor.
  • Avoid infections such as COVID-19, colds, and the flu. Get the flu vaccine every year. Get a pneumococcal vaccine. If you have had one before, ask your doctor whether you need another dose. Stay up to date on your COVID-19 vaccines.
  • Take care of your teeth and gums. Get regular dental checkups. Good dental health is important because bacteria can spread from infected teeth and gums to the heart valves.
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