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      Tricuspid regurgitation, right ventricular function, and renal congestion: a cardiorenal triangle

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          Abstract

          There is a growing interest in the evaluation of tricuspid regurgitation due to its increasing prevalence and detrimental impact on clinical outcomes. Historically, it has been coined the “forgotten” defect in the field of valvular heart disease due to the lack of effective treatments to improve prognosis. However, the development of percutaneous treatment techniques has led to a new era in its management, with promising results and diminished complication risk. In spite of these advances, a comprehensive exploration of the pathophysiological mechanisms is essential to establish clear indications and optimal timing for medical and percutaneous intervention. This review will address the most important aspects related to the diagnosis, pathophysiology and treatment of tricuspid regurgitation from a cardiorenal perspective, with a special emphasis on the interaction between right ventricular dysfunction and the development of hepatorenal congestion.

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          Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography.

          Lawrence G Rudski, Wyman W Lai, Jonathan Afilalo … (2010)
          Article 0 comments Cited 936 times – based on 0 reviews     Review now
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            Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance.

            William Zoghbi, David Adams, Robert Bonow … (2017)
            Article 0 comments Cited 681 times – based on 0 reviews     Review now
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              Cardio-renal syndromes: report from the consensus conference of the Acute Dialysis Quality Initiative

              Claudio Ronco, Peter R. McCullough, Stefan D. Anker … (2009)
              A consensus conference on cardio-renal syndromes (CRS) was held in Venice Italy, in September 2008 under the auspices of the Acute Dialysis Quality Initiative (ADQI). The following topics were matter of discussion after a systematic literature review and the appraisal of the best available evidence: definition/classification system; epidemiology; diagnostic criteria and biomarkers; prevention/protection strategies; management and therapy. The umbrella term CRS was used to identify a disorder of the heart and kidneys whereby acute or chronic dysfunction in one organ may induce acute or chronic dysfunction in the other organ. Different syndromes were identified and classified into five subtypes. Acute CRS (type 1): acute worsening of heart function (AHF–ACS) leading to kidney injury and/or dysfunction. Chronic cardio-renal syndrome (type 2): chronic abnormalities in heart function (CHF-CHD) leading to kidney injury and/or dysfunction. Acute reno-cardiac syndrome (type 3): acute worsening of kidney function (AKI) leading to heart injury and/or dysfunction. Chronic reno-cardiac syndrome (type 4): chronic kidney disease leading to heart injury, disease, and/or dysfunction. Secondary CRS (type 5): systemic conditions leading to simultaneous injury and/or dysfunction of heart and kidney. Consensus statements concerning epidemiology, diagnosis, prevention, and management strategies are discussed in the paper for each of the syndromes.
              Article 0 comments Cited 240 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Ilana Forado-Benatar: URI : https://loop.frontiersin.org/people/2371726/overviewRole:
                Pedro Caravaca-Pérez: URI : https://loop.frontiersin.org/people/1445996/overviewRole:
                Diana Rodriguez-Espinosa: URI : https://loop.frontiersin.org/people/1751410/overviewRole:
                Joan Guzman-Bofarull: Role:
                Elena Cuadrado-Payán: URI : https://loop.frontiersin.org/people/1979078/overviewRole:
                Yasbanoo Moayedi: Role:
                José Jesús Broseta: URI : https://loop.frontiersin.org/people/1264642/overviewRole:
                Marta Farrero: URI : https://loop.frontiersin.org/people/1615451/overviewRole:
                Journal
                Journal ID (nlm-ta): Front Cardiovasc Med
                Journal ID (iso-abbrev): Front Cardiovasc Med
                Journal ID (publisher-id): Front. Cardiovasc. Med.
                Title: Frontiers in Cardiovascular Medicine
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2297-055X
                Publication date (Electronic): 04 October 2023
                Publication date Collection: 2023
                Volume: 10
                Electronic Location Identifier: 1255503
                Affiliations
                [ 1 ]Department of Cardiology, Hospital Clínic of Barcelona , Barcelona, Spain
                [ 2 ]Department of Nephrology and Renal Transplantation, Hospital Clínic of Barcelona , Barcelona, Spain
                [ 3 ]Ted Rogers Centre for Heart Research, Peter Munk Cardiac Centre, University Health Network , Toronto, ON, Canada
                Author notes

                Edited by: Marta Maria Cobo Marcos, Puerta de Hierro University Hospital Majadahonda, Spain

                Reviewed by: Zorba Blazquez-Bermejo, University Hospital October 12, Spain Alei Fort, Doctor Josep Trueta Girona University Hospital, Spain

                [* ] Correspondence: Marta Farrero mfarrero@ 123456clinic.cat
                Article
                DOI: 10.3389/fcvm.2023.1255503
                PMC ID: 10583553
                PubMed ID: 37859684
                SO-VID: 764a130c-b5df-4e70-af80-4cb50ac5c577
                Copyright © © 2023 Forado-Benatar, Caravaca-Pérez, Rodríguez-Espinosa, Guzman-Bofarull, Cuadrado-Payán, Moayedi, Broseta and Farrero.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 08 July 2023
                Date accepted : 18 September 2023
                Page count
                Figures: 1, Tables: 0, Equations: 0, References: 75, Pages: 0, Words: 0
                Funding
                The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.
                Categories
                Subject: Cardiovascular Medicine
                Subject: Mini Review
                Custom metadata
                section-at-acceptance Heart Valve Disease

                Keywords: tricuspid regurgitation,right ventricular function,heart failure,abdominal congestion,cardiorenal,diuretic resistance,ultrafiltration
                Data availability:
                Keywords: tricuspid regurgitation, right ventricular function, heart failure, abdominal congestion, cardiorenal, diuretic resistance, ultrafiltration

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