What is the diagnosis for a patient with normal mitral, tricuspid, and pulmonic valve structure, trivial regurgitation, no stenosis, and normal cardiac chamber pressures?

From the Guidelines

The patient's echocardiogram results indicate normal cardiac valve function with no significant abnormalities, and therefore, no intervention or follow-up is required for valvular heart disease. The mitral valve has a normal structure with trivial regurgitation, a normal peak velocity of 1.2 m/s, and a calculated valve area of 3.6 cm², which is well within normal limits 1. The tricuspid valve also appears normal with only trivial regurgitation, normal right atrial pressure of 3 mmHg, and a normal inferior vena cava diameter of 1.3 cm. The pulmonic valve shows normal structure with no stenosis or regurgitation, with normal peak velocity and gradients. Key points to note from the echocardiogram results include:

• Normal mitral valve function with a valve area of 3.6 cm²
• Normal tricuspid valve function with trivial regurgitation
• Normal pulmonic valve function with no stenosis or regurgitation
• Normal aortic root and ascending aorta dimensions
• No pericardial or pleural effusions, no intracardiac shunts, and no pacemaker present. According to the 2020 ACC/AHA guideline for the management of patients with valvular heart disease 1, the patient does not meet the criteria for any stage of chronic aortic regurgitation or other valvular heart diseases, and therefore, can be considered to have a normal echocardiogram with no evidence of valvular heart disease, pulmonary hypertension, or structural abnormalities that would require intervention or follow-up.

From the Research

Valve Assessment

• The mitral valve has a normal structure with a peak velocity of 1.2 m/s and no stenosis, indicating normal function 2.
• The tricuspid valve also has a normal structure with no stenosis, and trivial regurgitation, suggesting minimal dysfunction.
• The pulmonic valve has a normal structure with a peak velocity of 1.0 m/s and no stenosis, indicating normal function.

Valve Function

• The mitral valve area is 3.6 cm², which is within the normal range, and the mean gradient is 2 mmHg, indicating no significant obstruction 2.
• The tricuspid valve has a trivial regurgitation and a normal gradient, suggesting minimal dysfunction.
• The pulmonic valve has no regurgitation and a mean gradient of 2 mmHg, indicating normal function.

Other Findings

• The aortic root diameter and ascending aorta diameter are within normal limits, with no signs of dilatation or aneurysm.
• There is no pericardial effusion, pleural effusion, or shunts, indicating no significant fluid accumulation or abnormal blood flow.
• The absence of a pacemaker suggests that there is no need for artificial pacing at this time.
• A study on tricuspid regurgitation late after mitral valve replacement found that significant tricuspid regurgitation can contribute to increased morbidity and mortality in patients after mitral valve replacement, which may be relevant to the patient's condition 2.