Online medical encyclopedia symptoms, diagnosis & treatment dermatologic disorders disorders of the eyes and lids ear, nose, and throat disorders pulmonary disorders heart disease, systemic hypertension blood vessel and lymphatic disorders blood disorders disorders of hemostasis and antithrombotic therapy gastrointestinal disorders liver, biliary tract, and pancreas disorders breast disorders gynecologic disorders obstetrics and obstetric disorders musculoskeletal and immunologic disorders fluid and electrolyte disorders kidney disease urologic disorders nervous system disorders psychiatric disorders endocrine disorders diabetes mellitus and hypoglycemia lipid disorders nutritional disorders viral and rickettsial infections bacterial and chlamydial infections spirochetal infections protozoal and helminthic infections mycotic infections disorders due to physical agents poisoning heart disease, systemic hypertension signs of heart disease > tricuspid regurgitation > treatment and prognosis minor tricuspid regurgitation is well tolerated. Severe tricuspid regurgitation results in hepatomegaly, edema, and ascites. viagra for sale cheap generic viagra buy viagra online viagra without a doctor prescription buy viagra online buy viagra buy cheap viagra cheap viagra online generic viagra online overnight shipping buy generic viagra In patients in the intensive care unit, tricuspid regurgitation may result in erroneous thermodilution cardiac output measurements because the recirculation of the saline bolus back to the ra reduces the temperature signal to noise required to perform the measurement. When present, bowel edema may reduce the effectiveness of oral furosemide, and intravenous diuretics should initially be used. Torsemide is better absorbed in this situation. Aldosterone antagonists have a role as well, particularly if ascites is present. At times, the efficacy of loop diuretics can be enhanced by adding a thiazide diuretic. Definitive treatment usually requires elimination of the cause of the tricuspid regurgitation. If the problem is left heart disease, then treatment of the left heart issues may lower pulmonary pressures, reduce rv size, and resolve the tricuspid regurgitation. Treatment for primary and secondary causes of pulmonary hypertension will generally reduce the tricuspid regurgitation. If surgery is contemplated for other reasons, especially mitral valve disease, then tricuspid annuloplasty is generally performed at the same time with a valvular ring sewn in place. Annuloplasty without insertion of a prosthetic ring (devega annuloplasty) may also be effective to reduce the annular dilation. The valve leaflet itself can occasionally be repaired in tricuspid valve endocarditis. In patients with tricuspid regurgitation due to endocarditis from substance abuse, the tricuspid valve has been temporarily removed to aid in cure of the endocarditis, though it must eventually be replaced (usually by 3-6 months); this practice is rarely used anymore. If there is an inherent defect in the tricuspid apparatus that cannot be rep. should young men use viagra