Core Concepts in EP Topics: The Tetralogy of Fallot-Tetralogy of Fallott

Video Transcription

Video Summary

In this Core Concepts in Electrophysiology session, Dr. Mitchell Cohen from ANOVA Fairfax Hospital discusses Tetralogy of Fallot, the most common form of cyanotic congenital heart disease. He delves into the historical background, pathophysiology, and risk assessment for sudden cardiac death in Tetralogy patients. Dr. Cohen highlights the significance of pulmonary regurgitation, right ventricular outflow tract obstruction, and the role of ventricular abnormalities in increasing the risk for ventricular tachycardia and sudden cardiac death. He emphasizes the importance of timely pulmonary valve replacement and the use of invasive EP studies to predict and manage these risks. Dr. Cohen concludes by proposing an integrated risk stratification model that takes into account demographic, non-invasive, and invasive risk factors to guide decision-making regarding the need for interventions like ICD placement. He emphasizes the multidisciplinary approach needed to comprehensively assess and manage these complex issues in Tetralogy patients.

Keywords

Electrophysiology

Tetralogy of Fallot

Cyanotic congenital heart disease

Sudden cardiac death

Pulmonary regurgitation

Ventricular tachycardia

Pulmonary valve replacement

Risk stratification model