Tetralogy of fallot electrocardiogram: Difference between revisions

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Latest revision as of 19:39, 14 April 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Fahimeh Shojaei, M.D., Priyamvada Singh, M.B.B.S. [2], Keri Shafer, M.D. [3];Kristin Feeney, B.S. [4]

Overview

An ECG may be helpful in the diagnosis of tetralogy of Fallot. Findings on an ECG suggestive of tetralogy of Fallot include right axis deviation, right ventricular hypertrophy, wide QRS, and right bundle branch block.

Electrocardiogram

An ECG may be helpful in the diagnosis of tetralogy of Fallot. Findings on an ECG suggestive of tetralogy of Fallot include:

The EKG often shows right axis deviation and right ventricular hypertrophy in tetralogy of Fallot.
Wider QRS correlates with worse right ventricle dysfunction.
Right atrial enlargement may be present.
Right bundle branch block is present in 95% of patients with tetrology of fellot, particularly following surgical repair.

2008 ACC/AHA Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)^[1]

Arrhythmias: Pacemaker/Electrophysiology Testing (DO NOT EDIT)^[1]

Class I
"1. Annual surveillance with history, electrocardiogram (ECG), assessment of RV function, and periodic exercise testing is recommended for patients with pacemakers/automatic implantable cardioverter defibrillators. (Level of Evidence: C) "

Class IIa
"1. Periodic Holter monitoring can be beneficial as part of routine follow-up. The frequency should be individualized depending on the hemodynamics and clinical suspicion of arrhythmia. (Level of Evidence: C) "

Class IIb
"1. Electrophysiology testing in an ACHD center may be reasonable to define suspected arrhythmias in adults with tetralogy of Fallot. (Level of Evidence: C) "

References

↑ ^1.0 ^1.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.

Template:WikiDoc Sources

[pmid19038677-1] 1.0 ^1.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.

[1]

@@ Line 1: / Line 1: @@
+__NOTOC__
 {{Tetralogy of fallot}}
-{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh| Priyamvada Singh, M.B.B.S.]] [mailto:psingh@perfuse.org], [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu]; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@perfuse.org]
+{{CMG}}; '''Associate Editors-In-Chief:''' {{Fs}}, [[Priyamvada Singh| Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com], [[User:KeriShafer|Keri Shafer, M.D.]] [mailto:kshafer@bidmc.harvard.edu];[[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
 ==Overview==
-The EKG often shows [[right axis deviation]] and [[right ventricular hypertrophy]] in Tetralogy of Fallot.  [[Right atrial enlargement]] may be present.  [[Right bundle branch block]] is often present, particularly following surgical repair.
+An [[ECG]] may be helpful in the diagnosis of tetralogy of Fallot. Findings on an [[ECG]] suggestive of tetralogy of Fallot include  [[right axis deviation]], [[right ventricular hypertrophy]], [[wide QRS]], and [[right bundle branch block]].
 ==Electrocardiogram==
-==ACC / AHA Guidelines - Recommendations for Arrhythmias: Pacemaker/Electrophysiology Testing in Tetralogy of Fallot (DO NOT EDIT)==
+An ECG may be helpful in the diagnosis of tetralogy of Fallot. Findings on an ECG suggestive of tetralogy of Fallot include:
+* The [[EKG]] often shows [[right axis deviation]] and [[right ventricular hypertrophy]] in tetralogy of Fallot.
+*Wider QRS correlates with worse right ventricle dysfunction.
+*[[Right atrial enlargement]] may be present.
+*[[Right bundle branch block]] is present in 95% of patients with tetrology of fellot, particularly following surgical repair.
+==2008 ACC/AHA Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)<ref name="pmid19038677">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. | journal=J Am Coll Cardiol | year= 2008 | volume= 52 | issue= 23 | pages= e1-121 | pmid=19038677 | doi=10.1016/j.jacc.2008.10.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19038677  }} </ref>==
+=== Arrhythmias: Pacemaker/Electrophysiology Testing (DO NOT EDIT)<ref name="pmid19038677">{{cite journal| author=Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA et al.| title=ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. | journal=J Am Coll Cardiol | year= 2008 | volume= 52 | issue= 23 | pages= e1-121 | pmid=19038677 | doi=10.1016/j.jacc.2008.10.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19038677  }} </ref>===
 {|class="wikitable"
 |-
 | colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
 |-
-| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.'''Annual surveillance with history, electrocardiogram (ECG), assessment of RV function, and periodic exercise testing is recommended for patients with pacemakers/automatic implantable cardioverter defibrillators.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
+| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1'''. Annual surveillance with history, [[electrocardiogram]] (ECG), assessment of [[RV]] function, and periodic [[exercise test]]ing is recommended for patients with [[pacemaker]]s/automatic [[implantable cardioverter defibrillator]]s. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
 |}
-===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]===
+{|class="wikitable"
-# Periodic Holter monitoring can be beneficial as part of routine follow-up. The frequency should be individualized depending on the hemodynamics and clinical suspicion of arrhythmia. (Level of Evidence: C)
+|-
+| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
+|-
+|bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1'''. Periodic [[Holter monitoring]] can be beneficial as part of routine follow-up. The frequency should be individualized depending on the [[hemodynamics]] and clinical suspicion of [[arrhythmia]]. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
+|}
-===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]]===
+{|class="wikitable"
-# Electrophysiology testing in an ACHD center may be reasonable to define suspected arrhythmias in adults with tetralogy of Fallot. (Level of Evidence: C)}}
+|-
+| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]]
+|-
+|bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1'''. [[Electrophysiology]] testing in an ACHD center may be reasonable to define suspected [[arrhythmias]] in adults with tetralogy of Fallot. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki>
+|}
 ==References==
-{{Reflist|2}}
+{{reflist|2}}
-{{Congenital malformations and deformations of circulatory system}}
-[[de:Herzfehler]]
-[[es:Cardiopatía congénita]]
-[[fr:Cardiopathie congénitale]]
-[[lv:Iedzimtās sirds slimības]]
-[[nn:Medfødd hjartefeil]]
-[[pl:Wada serca]]
-[[pt:Cardiopatia congênita]]
-[[sr:Урођене срчане мане]]
-[[uk:Вроджені вади серця]]
-[[wa:Maladeye des bleus påpåds]]
-[[tr:Doğumsal kalp hastalıkları]]
 [[Category:Cardiology]]
 [[Category:Congenital heart disease]]
 [[Category:Genetic Disease]]
+[[Category:Disease]]
+[[Category:Needs overview]]
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