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Tricuspid Regurgitation Bolded signs are considered specific for their tricuspid regurgitation grade. (1) RV and RA size can be within the “normal” range in patients with acute severe TR. (2) Signs are nonspecific and are influenced by many other factors (RV diastolic function, atrial fibrillation, RA pressure). (3) There are little data to support further separation of these values. ASE Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation (2017)
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