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European Heart Journal 1988 9(1):61-67;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Prevalence of tricuspid and pulmonary regurgitation diagnosed by Doppler in apparently healthy women. Possible influence on their physical performance?

S. MlCHELSEN, M. HURLEN and J. E. OTTERSTAD

Medical Department, Vestfold Central Hospital Tonsberg, Norway

Received 22 April 1987; revised 3 July 1987; .

address for correspondence: Dr Jan Erik Otterstad, Medical Department. Veslfold Central Hospital, 3100 Tonsberg, Norway.

Abstract

Ninety-five apparently healthy, non-athletic women aged 24–65 (mean 44) years were screened by Doppler echocardiography for the presence of tricuspid and pulmonary regurgitation ( TR and PR). An Irex Meridian system was used. TR was diagnosed in the presence of a pansystolic regurgitant jet into the right atrium with a maximal velocity of > 1.5 m ssup1. Regurgitant flow throughout diastole was diagnostic for PR. Right-sided regurgitation was found in 43 women (Group I), 22 with TR, 12 with PR, and nine with combined TR and PR. The remaining 52 women were studied as a control group (Group 2). Group 1 had a significantly larger heart size on X-ray (P <0–025) and left ventricular end systolic diameter assessed from M-mode echocardiography (P<0–05) than did Group 2. The possible clinical significance of the valvular regurgitation was assessed by using a standardized symptom-limited exercise test on an ergometer bicycle. In Group I, the mean cumulative work achieved was 7008 (±1630) kpm, and in Group 2 6363 (±1633) kpm (P<0.05). TR and PR occurring in otherwise healthy women does not seem to impair physical exercise performance.

Key Words: Symptom limited ergometer bicycle test • cumulative work


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