Incompetent tricuspid valve
Pan-systolic murmur wit ha split second heart sound as the pulmonary value is closing earlier than the aortic.
Causes
- Pressure - left sided Heart Failure or pulmonary Essential hypertension
- Endocarditis
- Rheumatic heart disease
- Connective tissue disorders - Marfan syndrome
Signs
- Thirll
- Raised JVP
- Pulsatile liver
- Peripheral oedema
- Ascites