During a routine physical exam, your doctor may find abnormalities when pressing a hand (palpating) on your chest and may notice signs of liver and spleen swelling and fluid buildup in your abdomen. Your doctor also may hear a heart murmur or other abnormal sounds when listening to your heart with a stethoscope. While these abnormalities might indicate tricuspid valve regurgitation, your doctor will order a series of tests to rule out or confirm the diagnosis. These tests might include the following:
- Echocardiogram (echo) – This test, which uses sound waves to create a moving picture of the heart, is the primary test to diagnose tricuspid valve regurgitation.
- Electrocardiogram (ECG or EKG) – This test measures the heart's electrical activity.
- Computed tomography (CT) scan – This test uses X-rays to take detailed cross-sectional images of the heart and arteries.
- Cardiac magnetic resonance imaging (MRI) – This test uses magnetic fields and radio waves to create detailed heart images.
- Chest X-ray – This test uses a beam with a small amount of radiation to show images of the bones, heart and lungs, and blood vessels.