Tetralogy of fallot differential diagnosis

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

Overview

Tetralogy of Fallot is the most common form of cyanotic heart disease, and must be distinguished from other forms of cyanotic heart disease.

Differentiating Tetralogy of Fallot from other Diseases

Disorders Etiology Clinical Presentation Laboratory Findings Electrocardiogram Echocardiography
Tetralogy of Fallot Multifactorial Echocardiography may show:
  • Residual VSD or ASD
  • RV outflow tract obstruction
  • Abnormal valvular anatomy
Total Anomalous Pulmonary Venous Connection Multifactorial
Tricuspid Atresia Multifactorial
  • Respiratory difficulties as nasal flaring or muscle retractions
  • Cyanosis
  • Growth retradation
  • Tall P waves indicate atrial enlargement.
  • Frontal plane QRS axis may be leftward.
Echocardiography may show
Transposition of the Great Arteries Multifactorial Echocardiography may show:

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