(Online video): Echocardiographic evaluation of severe tricuspid regurgitation. (Online video): Echocardiographic evaluation of severe tricuspid regurgitation. Panel (A) demonstrates right ventricular and atrial enlargement with subsequent leaflet malcoaptation. Panel (B) shows a broad-based regurgitant jet across the tricuspid valve by colour-flow Doppler. Panel (C) highlights the classic ‘dagger-shaped’ continuous wave Doppler pattern of the regurgitant jet which results from rapid pressure equalisation in the right atria and ventricle. Panel (D) demonstrates the continuous wave Doppler pattern of systolic reversals observed in the hepatic veins. Erin A Fender et al. Heart 2018;104:798-806 Copyright © BMJ Publishing Group Ltd & British Cardiovascular Society. All rights reserved.