Table 5 Native valve follow-up: right heart valvular pathology (pulmonary/tricuspid regurgitation)*
Pulmonary/tricuspid regurgitation | ||
|---|---|---|
Mild | Moderate | Severe |
• No follow up usually needed if mild or moderate TR and normal valve and normal RV | • With abnormal valve or RV: • TTE every 2 years • Cardiologist review | • TTE every year • Cardiologist review |
TTE alerts for urgent Cardiology review: • RV dysfunction • RV dilatation | ||
Other alerts for Cardiologist review: • Development of symptoms: breathlessness, chest pain, pre-syncope, syncope | ||
Pulmonary stenosis | ||
|---|---|---|
Mild | Moderate | Severe |
• Vmax: < 3 m/s • TTE every 3–5 years | • Vmax: 3.0–4.0 m/s • TTE every 2 years • Cardiologist review | • Vmax: > 4 m/s • TTE every year • Cardiologist review |
TTE alerts for urgent Cardiology review: • RV dysfunction • RV dilatation | ||
Other alerts for Cardiologist review: • Development of symptoms | ||