A member asked:

Sob (+blue finger) when the weather is cold, after exercise, and eating. could this be caused by tricuspid regurgitation & rvh that i have?

A doctor has provided 1 answer

Right heart: Hi Edwina,this could be simple or very complex. Usually the heart will tolerate quite severe TR without severe symptoms. If you want to link the blue finger to the heart you have to think of LtoR shunt as in severe VSD (Eisenmenger), CHD (Fallots) or large ostium primum. You need an ECHO if it has not been done. If these are normal, the SOB could be mild CHF or deconditioning. Chk for Raynauds tx

Answered 6/2/2015

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Thank

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