TS는 MS 위치와 비슷한데 Left lower sternal border쪽에서 들린다는 정도로만 아셔도 충분할 듯합니다. 매우 드문 질환이기에 따로 국시에 나올 걱정은 안하셔도 될듯합니다.

다음 심잡음에 대해 자세히 설명되어 있는 논문 첨부합니다.

출처 : https://www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0039-3402692.pdf

Tricuspid stenosis: Rheumatic tricuspid valve involvement almost always occurs along with mitral valve lesions. The TS murmur is scratchy and becomes longer and louder by any maneuver that increases the venous return like inspiration, leg rising, exercise, or Muller’s maneuver. The two murmurs can be distinguished separately based on the character and location (►Table 4). The murmur resembles mitral stenotic murmur but increases in intensity on inspiration (Carvallo’s sign) and may be confined to late diastole. There may be an opening snap and an occasional split first heart sound. The a-wave in jugular venous pressure (JVP) may be prominent. In presence of atrial fibrillation, the TS murmur may be more obscured causing considerable difficulty. Carcinoid valve disease or right atrial myxoma can also cause isolated tricuspid valve disease.