Tricuspid Stenosis

Tricuspid Area Murmur
[4th Intercostal space on the left]
Diastolic

 

  • Largely seen with rheumatic heart disease, Carcinoid heart disease or Phen-fen.
  • Almost always seen associated with mitral stenosis.
  • Right side diastolic rumble that changes with respiration.
  • May be associated with right sided S3.
  • Large jugular venus pulsations are usually present (prominent A wave if present).
  • May be associated with accompanying tricuspid regurgitation murmur.