Tetralogy of Fallot Flashcards
1
Q
Tetralogy of Fallot (TOF) is the most common cause of what?
A
Cyanotic heart disease
2
Q
At how old does it present?
A
1-2 months.
But may not be picked up until 6 months old.
3
Q
At how old does transposition of the great arteries present?
A
At birth
4
Q
What are the 4 characteristic features of TOF?
A
- Centricular septal defect (VSD)
- Right ventricular hypertrophy
- Right ventricular outflow tract obstruction, pulmonary stenosis
- Overriding aorta
5
Q
What kind of murmur can be heard?
A
AN ejection systolic murmur due to pulmonary stenosis.
6
Q
What does a CXR show?
A
A boot shaped heart
7
Q
What does the ECG show?
A
Right ventricular hypertrophy
8
Q
How is it managed?
A
- Surgical repair is often undertaken in two parts
- Cyanotic episodes may be helped by beta-blockers to reduce infundibular spasm
