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.