Tetralogy of fallot electrocardiogram: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| (15 intermediate revisions by 5 users not shown) | |||
| Line 2: | Line 2: | ||
{{Tetralogy of fallot}} | {{Tetralogy of fallot}} | ||
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh| Priyamvada Singh, M.B.B.S.]] [mailto: | {{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== | ==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== | ==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)<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" | {|class="wikitable" | ||
|- | |- | ||
| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | ||
|- | |- | ||
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1 | | 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> | ||
|} | |} | ||
| Line 22: | Line 27: | ||
| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]] | | colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]] | ||
|- | |- | ||
| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1 | |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> | ||
|} | |} | ||
| Line 29: | Line 34: | ||
| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]] | | colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]] | ||
|- | |- | ||
| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1 | |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== | ==References== | ||
{{ | {{reflist|2}} | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
| Line 53: | Line 44: | ||
[[Category:Genetic Disease]] | [[Category:Genetic Disease]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs overview]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Latest revision as of 19:39, 14 April 2020
|
Tetralogy of fallot Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
|
|
Tetralogy of fallot electrocardiogram On the Web |
|
American Roentgen Ray Society Images of Tetralogy of fallot electrocardiogram |
|
Risk calculators and risk factors for Tetralogy of fallot electrocardiogram |
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.