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Secondary Tricuspid Regurgitation Progression in HFpEF/HFmrEF/HFrEF Explore the phases of secondary tricuspid regurgitation (TR) linked to heart failure with preserved, mid-range, and reduced ejection fraction (HFpEF/HFmrEF/HFrEF): Phase I: Increased LVEDP, mild sPAP elevation, mild RV/RA and TV annular dilatation. Phase II: Progressive RV/RA dilatation, rising sPAP, TV annular dilatation, mild leaflet tethering. Phase III: Excessive RV/RA dilatation, sustained sPAP, severe TV annular dilatation
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