Evaluation of the Impact of Interventional Treatments for Symptomatic, Severe Tricuspid Valve Insufficiency on Renal Integrity and Function, as Well as on Physical Function and Activity in Older Adults.

This study is looking at how a minimally invasive heart procedure (to repair a leaky tricuspid valve — the valve on the right side of the heart) affects kidney function and physical ability in older adults. Tricuspid valve leakage is common in the elderly and can cause fluid buildup and fatigue. **You may be eligible if...** - You have severe symptomatic tricuspid valve insufficiency (a very leaky valve causing symptoms) - You have been referred for evaluation for a TriClip or TricValve procedure - You are over 18 years old and can provide consent - You are able to walk short distances, even with assistance **You may NOT be eligible if...** - You are on dialysis or have end-stage kidney disease - You have dementia or are unable to complete the study assessments - You have severe anemia (hemoglobin below 7 g/dL) - The procedure is being done with palliative (end-of-life comfort) intent only Talk to your doctor to see if this trial is right for you.