Tetralogy of fallot electrocardiogram

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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

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.

Electrocardiogram

ACC / AHA Guidelines - Recommendations for Arrhythmias: Pacemaker/Electrophysiology Testing in Tetralogy of Fallot (DO NOT EDIT)

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

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