Regurgitation (circulation)

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Regurgitation is

blood flow in the opposite direction from normal, as the backward flowing of blood into the heart or between heart chambers. It is the circulatory equivalent of backflow
in engineered systems. It is sometimes called reflux.

Types of heart valve regurgitation

The various types of heart valve regurgitation via insufficiency are as follows:

  1. acute
    .
  2. rheumatic heart disease, or a complication of cardiac dilatation. See also Mitral regurgitation
    .
  3. Pulmonic regurgitation: the backflow of blood from the pulmonary artery
    into the right ventricle, owing to insufficiency of the pulmonic semilunar valve.
  4. 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

aortic insufficiency and aortic regurgitation are so closely linked as usually to be treated as metonymically
interchangeable.

Regurgitant fraction

Regurgitant fraction is the percentage of blood that regurgitates back through the

mitral insufficiency. It is measured as the amount of blood regurgitated into a cardiac chamber divided by the stroke volume
.

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]

See also

References