{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:39:41Z","timestamp":1792701581994,"version":"4.5.0"},"reference-count":24,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","elsevier.es","revespcardiol.org","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Revista Espa\u00f1ola de Cardiolog\u00eda (English Edition)"],"published-print":{"date-parts":[[2023,11]]},"DOI":"10.1016\/j.rec.2023.02.008","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T08:12:14Z","timestamp":1678349534000},"page":"845-851","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["The 4A classification for patients with tricuspid regurgitation"],"prefix":"10.1016","volume":"76","author":[{"given":"Ariana","family":"Gonz\u00e1lez-G\u00f3mez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Covadonga","family":"Fern\u00e1ndez-Golf\u00edn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roc\u00edo","family":"Hinojar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Manuel","family":"Monteagudo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Garc\u00eda-Sebasti\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In\u00e9s","family":"Garc\u00eda-Lunar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1ngel","family":"S\u00e1nchez-Recalde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa","family":"Salido","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Pardo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Zamorano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.rec.2023.02.008_bib0125","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/S0002-9149(98)01064-9","article-title":"Prevalence and clinical determinants of mitral, tricuspid, and aortic regurgitation (the Framingham Heart Study)","volume":"83","author":"Singh","year":"1999","journal-title":"Am J Cardiol."},{"key":"10.1016\/j.rec.2023.02.008_bib0130","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.jcmg.2018.06.014","article-title":"Burden of Tricuspid Regurgitation in patients Diagnosed in the Community Setting","volume":"12","author":"Topilsky","year":"2019","journal-title":"JACC Cardiovasc Imaging."},{"key":"10.1016\/j.rec.2023.02.008_bib0135","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.jacc.2003.09.036","article-title":"Impact of tricuspid regurgitation on long-term survival","volume":"43","author":"Nath","year":"2004","journal-title":"J Am Coll Cardiol."},{"key":"10.1016\/j.rec.2023.02.008_bib0140","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1093\/ehjci\/jez024","article-title":"Mid-term outcome of severe tricuspid regurgitation: are there any differences according to mechanism and severity?","volume":"20","author":"Santoro","year":"2019","journal-title":"Eur Heart J Cardiovasc Imaging."},{"key":"10.1016\/j.rec.2023.02.008_bib0145","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1093\/ejcts\/ezab389","article-title":"ESC\/EACTS Scientific Document Group2021 ESC\/EACTS Guidelines forthe management of valvular heart disease ESC\/EACTS Scientific Document Group","volume":"60","author":"Vahanian","year":"2021","journal-title":"Eur J Cardiothorac Surg."},{"key":"10.1016\/j.rec.2023.02.008_bib0150","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1093\/ehjci\/jet105","article-title":"Scientific Document Committee of the European Association of Cardiovascular Imaging. Recommendations for the echocardiographic assessment of native valvular regurgitation: an executive summary from the European Association of Cardiovascular Imaging","volume":"14","author":"Lancellotti","year":"2013","journal-title":"Eur Heart J Cardiovasc Imaging."},{"key":"10.1016\/j.rec.2023.02.008_bib0155","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1093\/ehjci\/jex139","article-title":"The need for a new tricuspid regurgitation grading scheme","volume":"18","author":"Hahn","year":"2017","journal-title":"Eur Heart J Cardiovasc Imaging."},{"key":"10.1016\/j.rec.2023.02.008_bib0160","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/j.jcmg.2018.09.027","article-title":"Morphologic Types of Tricuspid Regurgitation: Characteristics and Prognostic Implications","volume":"12","author":"Prihadi","year":"2019","journal-title":"JACC Cardiovasc Imaging."},{"key":"10.1016\/j.rec.2023.02.008_bib0165","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1093\/ehjci\/jex244","volume":"18","author":"Galderisi","year":"2017","journal-title":"Eur Heart J Cardiovasc Imaging."},{"key":"10.1016\/j.rec.2023.02.008_bib0170","doi-asserted-by":"crossref","first-page":"791","DOI":"10.4244\/EIJ-D-21-00695","article-title":"Transcatheter treatment for tricuspid valve disease","volume":"17","author":"Praz","year":"2021","journal-title":"EuroIntervention."},{"key":"10.1016\/j.rec.2023.02.008_bib0175","first-page":"67","article-title":"Survival analyses in cardiovascular research, part I: the essentials","volume":"75","author":"Rosello","year":"2022","journal-title":"Rev Esp Cardiol."},{"key":"10.1016\/j.rec.2023.02.008_bib0180","unstructured":"Criteria Committee of the New York Heart Association. Diseases of the heart and blood vessels. In: Harvey RM, et al, eds. Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. 7th ed. Boston, MA: Little, Brown & Co.; 1973:286."},{"key":"10.1016\/j.rec.2023.02.008_bib0185","doi-asserted-by":"crossref","first-page":"1840","DOI":"10.1136\/heartjnl-2014-307252","article-title":"Secondary tricuspid valve regurgitation: a forgotten entity","volume":"101","author":"Tornos","year":"2015","journal-title":"Heart."},{"key":"10.1016\/j.rec.2023.02.008_bib0190","doi-asserted-by":"crossref","first-page":"e578","DOI":"10.1161\/CIR.0000000000000560","article-title":"Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement From the American Heart Association","volume":"137","author":"Konstam","year":"2018","journal-title":"Circulation."},{"key":"10.1016\/j.rec.2023.02.008_bib0195","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1016\/j.jacc.2007.07.016","article-title":"Altered intestinal function in patients with chronic heart failure","volume":"50","author":"Sandek","year":"2007","journal-title":"J Am Coll Cardiol."},{"key":"10.1016\/j.rec.2023.02.008_bib0200","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1016\/j.jacc.2013.04.070","article-title":"Abdominal contributions to cardiorenal dysfunction in congestive heart failure","volume":"62","author":"Verbrugge","year":"2013","journal-title":"J Am Coll Cardiol."},{"key":"10.1016\/j.rec.2023.02.008_bib0205","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.jacc.2008.08.080","article-title":"Increased central venous pressure is associated with impaired renal function and mortality in a broad spectrum of patients with cardiovascular disease","volume":"53","author":"Damman","year":"2009","journal-title":"J Am Coll Cardiol."},{"key":"10.1016\/j.rec.2023.02.008_bib0210","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1016\/S0002-9149(02)02886-2","article-title":"Type of liver dysfunction in heart failure and its relation to the severity of tricuspid regurgitation","volume":"90","author":"Lau","year":"2002","journal-title":"Am J Cardiol."},{"key":"10.1016\/j.rec.2023.02.008_bib0215","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1111\/j.1365-2362.2011.02573.x","article-title":"Liver dysfunction in chronic heart failure: prevalence, characteristics and prognostic significance","volume":"42","author":"Poelzl","year":"2012","journal-title":"Eur J Clin Invest."},{"key":"10.1016\/j.rec.2023.02.008_bib0220","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1093\/eurjhf\/hfn031","article-title":"CHARM Investigators. Liver function abnormalities and outcome in patients with chronic heart failure: data from the Candesartan in Heart Failure: Assessment of Reduction in Mortality and Morbidity (CHARM) program","volume":"11","author":"Allen","year":"2009","journal-title":"Eur J Heart Fail"},{"key":"10.1016\/j.rec.2023.02.008_bib0225","doi-asserted-by":"crossref","first-page":"2148","DOI":"10.1056\/NEJMra0800239","article-title":"Biomarkers in heart failure","volume":"358","author":"Braunwald","year":"2008","journal-title":"N Engl J Med."},{"key":"10.1016\/j.rec.2023.02.008_bib0230","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/j.cjca.2014.07.014","article-title":"The role of biomarkers in valvular heart disease: focus on natriuretic peptides","volume":"30","author":"Bergler-Klein","year":"2014","journal-title":"Can J Cardiol."},{"key":"10.1016\/j.rec.2023.02.008_bib0235","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1002\/ejhf.495","volume":"18","author":"Vegter","year":"2016","journal-title":"Eur J Heart Fail."},{"key":"10.1016\/j.rec.2023.02.008_bib0240","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1093\/eurheartj\/ehab679","article-title":"TRI-SCORE: a new risk score for in-hospital mortality prediction after isolated tricuspid valve surgery","volume":"43","author":"Dreyfus","year":"2022","journal-title":"Eur Heart J."}],"container-title":["Revista Espa\u00f1ola de Cardiolog\u00eda (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1885585723000683?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1885585723000683?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,5,18]],"date-time":"2024-05-18T15:44:40Z","timestamp":1716047080000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1885585723000683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":24,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["S1885585723000683"],"URL":"https:\/\/doi.org\/10.1016\/j.rec.2023.02.008","relation":{},"ISSN":["1885-5857"],"issn-type":[{"value":"1885-5857","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The 4A classification for patients with tricuspid regurgitation","name":"articletitle","label":"Article Title"},{"value":"Revista Espa\u00f1ola de Cardiolog\u00eda (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.rec.2023.02.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.recesp.2023.02.015","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"https:\/\/doi.org\/10.1016\/j.rec.2023.05.012","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Published by Elsevier Espa\u00f1a, S.L.U. on behalf of Sociedad Espa\u00f1ola de Cardiolog\u00eda.","name":"copyright","label":"Copyright"}]}}