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June 1, 1979CirculationOpen Access

Status of the adult and adolescent after repair of tetralogy of Fallot.

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Population

233 patients born before January 1962 who had surgical repair of tetralogy of Fallot at a median age of 9.7…

Design

Cohort

Authors

AGArthur GarsonPediatric / Congenital CardiologyMNMichael R. NihillBaylor College of MedicineDMDan G. McNamaraUniversity of Southern California

Discussion

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Overview

Patients with repaired tetralogy of Fallot and elevated RVSP plus ventricular premature depolarizations may face higher sudden death risk; leaves open need for prospective risk-stratification trials.

Structured PICO

P
Population
233 patients born before January 1962 who had surgical repair of tetralogy of Fallot at a median age of 9.7 years (range 11 months to 36 years).
I
Intervention
Surgical repair of tetralogy of Fallot
O
Outcome
Long-term survival, clinical symptoms, and hemodynamic status assessed by cardiac catheterizationhard clinical

While over 80% of adults with repaired tetralogy of Fallot lead normal lives, clinical assessment alone does not predict hemodynamic results, and elevated right ventricular systolic pressure combined with ventricular premature depolarizations places patients at risk for sudden death.

Cite This Study

Garson et al. (1979) studied this question.

synapsesocial.com/papers/6a6f4784fe4101aa97dfbd76https://doi.org/10.1161/01.cir.59.6.1232
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Results of total correction of the tetralogy of Fallot. Long-term haemodynamic evaluation at rest and during exercise.1976 · 38 citations
  2. 2Chronic congestive heart failure after repair of tetralogy of Fallot.1977 · 47 citations
  3. 3The Tetralogy of Fallot, From a Surgical Viewpoint.1970 · 38 citations
  4. 4Sudden death after repair of tetralogy of Fallot. Electrocardiographic and electrophysiologic abnormalities.1977 · 194 citations
  5. 5Unexpected cardiac arrest in patients after surgical correction of tetralogy of Fallot.1975 · 116 citations