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the unidirectional flow of blood through the heart is regulated by cardiac valves that prevent blood flowing backwards in some individuals the tricuspid valve does not close adequately causing backflow of blood to the right atrium this condition is known as tricuspid regurgitation or tr which is associated with chronic right-sided heart failure although highly prevalent among heart failure patients tr is often untreated patients with severe tr have reduced quality of life as well as docHubly greater hospitalization and mortality rates tr causes fatigue exercise intolerance abdominal swelling and peripheral edema which contribute to a poorer quality of life creating a need for innovative treatments for this highly under-treated condition tr is diagnosed by echocardiographic evaluation of right-sided heart disease specific echo parameters are measured during these evaluations to grade tr severity in patients along five grades patients with severe massive or torrential tr can benefit