{"id":"76b64c1e8034","type":"article","url":"https://hartvaat.nl/2026/03/28/gestandaardiseerd-stappenplan-voor-tricuspidalisinsufficientie-van-verwijzing-to/","title":"Gestandaardiseerd stappenplan voor tricuspidalisinsufficiëntie: van verwijzing tot expertcentrum","title_en":"","category":"algemeen","category_label":"Algemeen","professions":["cardioloog"],"tags":["tricuspidalisinsufficiëntie"],"journal":"European heart journal","doi":"10.1093/eurheartj/ehag214","source_url":"https://doi.org/10.1093/eurheartj/ehag214","authors":["Julien Dreyfus","Fabien Praz","Rebecca Hahn","Davide Margonato","Denisa Muraru","David Messika-Zeitoun","Marianna Adamo","Eustachio Agricola","Erwan Donal","Mirjam Wild","Haran Burri","Marco Metra","Augustin Coisne","Karl-Patrik Kresoja","Julia Grapsa","Jeroen Bax","Marta Sitges","Bernard Prendergast","Francesco Maisano","Joao Cavalcante","Nina Ajmone Marsan"],"significance":7,"published":"2026-04-19","source_date":"2026-03-28","image":"","kennis":["https://hartvaat.nl/kennis/coronairlijden/pci-percutane-coronaire-interventie/","https://hartvaat.nl/kennis/diagnostiek/cardiale-mri/"],"congress":"","summary_en":"This EHJ review proposes a standardised stepwise work-up for patients with tricuspid regurgitation, aligned with the 2025 ESC/EACTS Valvular Heart Disease guidelines. It covers clinical assessment, multimodality imaging (echocardiography, CT, CMR) and invasive haemodynamics, and emphasises multidisciplinary collaboration between imagers, heart failure specialists, interventional cardiologists, electrophysiologists and surgeons. As transcatheter TR therapies expand, the framework aims to improve timely referral and consistent management.","created":"2026-07-03T10:32:46Z","updated":"2026-07-03T13:31:42Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Deze EHJ-review beschrijft een gestandaardiseerd werkpad voor patiënten met tricuspidalisinsufficiëntie (TR), in lijn met de 2025 ESC/EACTS-richtlijn voor kleplijden. Het kader omvat klinische beoordeling, multimodale beeldvorming (echo, CT, MRI) en invasieve hemodynamiek, en benadrukt multidisciplinaire samenwerking tussen imaging-specialisten, HF-cardiologen, interventiecardiologen, elektrofysiologen en chirurgen. Nu transcatheter-therapieën voor TR snel opkomen, helpt dit stappenplan tijdige verwijzing en consistente evaluatie bij deze complexe aandoening.","abstract_original":"Tricuspid regurgitation (TR) is a common yet historically neglected condition associated with poor outcomes. Traditionally managed conservatively, TR has recently gained renewed attention, thanks to advances in surgical and transcatheter interventions. Selecting the optimal therapy, however, requires an integrated and systematic approach considering TR aetiology, stage of the disease, comorbidities, operative risk, and anatomical feasibility. This review describes a standardized stepwise work-up for patients with TR from the referral centre to the expert heart valve centre (HVC). It provides practical algorithms and structured protocols covering clinical and biological assessment, multimodality imaging (echocardiography, computed tomography, cardiac magnetic resonance), and invasive haemodynamic evaluation. The document highlights the importance of multidisciplinary collaboration, involving imagers, heart failure specialists, interventional cardiologists, electrophysiologists, and surgeons, in line with the new recommendations of the 2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease. By harmonizing diagnostic standards and promoting a structured approach to patient assessment within HVCs, this review aims to facilitate timely referral and ensure consistent evaluation and management of patients with this complex and often underestimated condition."}