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Table 2 Grades of tricuspid regurgitation in echocardiography [10]

From: Multimodal imaging of the tricuspid valve: normal appearance and pathological entities

 

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

  1. PISA proximal isovelocity surface area