Regurgitation (circulation)
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Regurgitation is
Types of heart valve regurgitation
The various types of heart valve regurgitation via insufficiency are as follows:
- acute.
- rheumatic heart disease, or a complication of cardiac dilatation. See also Mitral regurgitation.
- Pulmonic regurgitation: the backflow of blood from the pulmonary arteryinto the right ventricle, owing to insufficiency of the pulmonic semilunar valve.
- Tricuspid regurgitation: the backflow of blood from the right ventricle into the right atrium, owing to imperfect functioning (insufficiency) of the tricuspid valve.
Regurgitation in or near the heart is often caused by valvular insufficiency (insufficient function, with incomplete closure, of the
Regurgitant fraction
Regurgitant fraction is the percentage of blood that regurgitates back through the
This fraction affords a quantitative measure of the severity of the valvular lesion. Normally, no blood regurgitates, so the regurgitant fraction is zero. In patients with severe valvular lesions, regurgitant fraction can approach 80%.
Epidemiology
Tricuspid and mitral regurgitation
Tricuspid regurgitation is common and is estimated to occur in 65–85% of the population.
In a study of 595 male elite football players aged 18–38, and 47 sedentary non-athletes, it was found that 58% of the athletes had tricuspid regurgitation vs. 36% in non-athletes and mitral regurgitation was found in 20% football players and 15% in controls. Football players with tricuspid regurgitation had larger tricuspid annulus diameter, compared to athletes without tricuspid regurgitation. Athletes with tricuspid regurgitation also had enlarged right atrium diameter when compared to control group. In athletes with mitral regurgitation it was found they had larger mitral annulus diameter, compared to athletes without regurgitation. Also left atrium diameter was larger in athletes with mitral regurgitation.[3]