Monitoring

ECGs, chest x-rays, and echocardiograms should be performed annually to monitor for development or worsening of tricuspid stenosis and/or regurgitation.

Patients not requiring surgery should have a follow-up visit with a cardiologist annually.

Patients who underwent tricuspid surgery are typically seen in an outpatient cardiology clinic at 2 to 4 weeks after hospital discharge, at 6 months and annually thereafter. For patients with mechanical valve prostheses, warfarin dosing is adjusted on an outpatient basis according to the international normalized ratio (INR).

Endocarditis prophylaxis is recommended for all patients with prosthetic cardiac valves undergoing dental procedures that involve manipulation of gingival tissue or the periapical region of teeth or perforation of the oral mucosa.

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