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The Echo Journal on Instagram: "Severe TR: the V-shaped cutoff explained 🫀⁠ ⁠ In severe tricuspid regurgitation, the CW Doppler envelope often shows a V-shaped (early systolic) cutoff.⁠ Why? 👉 Rapid pressure equalization between the RV and RA.⁠ ⁠ When regurgitation is severe, blood flows freely back into the right atrium, causing RA pressure to rise quickly. As RV and RA pressures equalize early in systole, the driving gradient falls—so the TR jet ends prematurely, creating that classic V shap
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