Tetralogy of Fallot

Overview

4.6 out of 5 (23 Reviews)

Credits

1.50

Post-Assessment Questions

10

Start Date

1 Sep 2023

Last Review Date

14 Feb 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes


 
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Activity Description

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease, representing 5% to 7% of all congenital heart defects. TOF is a conotruncal cardiac defect characterized by a large and anteriorly malaligned ventricular septal defect, an overriding aortic root, and narrowing of the subpulmonary and pulmonary valves. Right ventricular hypertrophy is secondary to the obstruction in the right ventricular outflow tract and pulmonary valve. Clinical presentation varies based on the severity of the right ventricular outflow tract obstruction (RVOTO), most commonly presenting as a cyanotic neonate. With the advent of fetal echocardiography, the diagnosis can be made prenatally, and in infants who present with severe RVOTO, prompt stabilization can avoid profound cyanosis and rapid deterioration. This activity for healthcare professionals aims to enhance learners' competence in selecting appropriate diagnostic tests, managing TOF, and fostering effective interprofessional teamwork to improve outcomes.


Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the anatomy and interpret the pathophysiology of TOF.

  • Identify the known genetic risk factors associated with TOF.

  • Select the appropriate treatment for patients with TOF.

  • Coordinate with interprofessional healthcare team members caring for patients with TOF, including maternal-fetal care, neonatal cardiac surgery, cardiac neurodevelopmental programs, outpatient care programs, and adult congenital programs.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Nurses: StatPearls designates this activity for 1.50 ANCC contact hour(s). Nurses should only claim credit commensurate with the extent of their participation in the activity.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact support@statpearls.com.

Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the US Food and Drug Administration. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

cynthia z. on 2/26/2021

Teaching Points • After tetralogy of Fallot repair, some patients may have poor peripheral perfusion, hypotension, and acidosis with a decreased urine output. • Usually, right-sided filling pressure is elevated. An echocardiogram will reveal either a residual ventral-septal defect, but generally, the cause is a dilated and hypocontractile right ventricle. • The most common cause is a residual left ventricular outflow tract obstruction, either pulmonary stenosis or residual infundibular obstruction. IT IS NOT LVOT OBSTRUCTION. NEEDS TO BE CORRECTED. • Occasionally, these patients may require ventilatory and pressor support for 3-4 days which may include dialysis or core cooling with cold dialysate.

Kelly V. on 4/10/2021

Maha a. on 8/9/2021

Victoria C. on 8/24/2021

Faisal A. on 10/2/2021

Matthew W. on 11/9/2021

Ravi J. on 1/17/2023

Gautam P. on 5/24/2023

Margarita b. on 1/8/2024

Peter C. on 6/27/2024

Christine A. on 7/19/2024

Michael M. on 6/30/2024

Ravi Y. on 6/7/2024

Mary D. on 6/2/2024

Courtney P. on 5/14/2024

Sandra J. on 4/1/2024

excellent program

anthony l. on 12/27/2023

Leah J. on 1/16/2024

John M. on 11/16/2023

Jochen S. on 8/24/2023

Ajay P. on 5/6/2023

Kathryn R. on 4/23/2022

Teresa c. on 12/25/2021

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