Tricuspid stenosis: The Daily PANCE Blueprint
A low-frequency, harsh, rumbling diastolic murmur heard best at the left lower sternal border is most characteristic of which condition?
A. Mitral stenosis
B. Tricuspid stenosis
C. Aortic regurgitation
D. Pulmonic regurgitation
E. Aortic stenosis
Answer and topic summary
The answer is B. Tricuspid stenosis
Tricuspid stenosis is a rare diastolic murmur usually found in conjunction with other murmurs or underlying heart disease. It is typically of a lower frequency, heard at the LLSB @ 4th ICS, harsh, and rumbling. Etiologies include rheumatic heart disease, carcinoid tumors, endocarditis, iatrogenic (radiation, fibrosis from pacemaker lead), etc. Intervention is reserved for severe stenosis with symptoms; it may include valve surgery (valve repair or replacement) or percutaneous balloon valvuloplasty.
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Covered under ⇒ PANCE Blueprint Cardiology ⇒ ⇒
