TY  - GEN
ID  - cogprints4598
UR  - http://cogprints.org/4598/
A1  - Folino, Antonio Franco
A1  - Daliento, Luciano
Y1  - 2005/10//
N2  - Tetralogy of Fallot is the most common cyanotic congenital heart disease, with a good outcome after total surgical correction. In spite of a low perioperative mortality and a  good quality of life, late sudden death remains a significant clinical problem, mainly related to episodes of sustained ventricular tachycardia and ventricular fibrillation. Fibro-fatty substitution around infundibular resection, intraventricular septal scar, and patchy myocardial fibrosis, may provide anatomical substrates of abnormal depolarization and repolarization causing reentrant ventricular arrhythmias. 
            Several non-invasive indices based on classical examination such as ECG, signal-averaging ECG, and echocardiography have been proposed to identify patients at high risk of sudden death, with hopeful results. In the last years other more sophisticated invasive and non-invasive tools, such as heart rate variability, electroanatomic mapping and cardiac magnetic resonance added a relevant contribution to risk stratification. 
            Even if each method per se is affected by some limitations, a comprehensive multifactorial clinical and investigative examination can provide an accurate risk evaluation for every patient
PB  - Indian Pacing and Electrophysiology Group
KW  - Tetralogy of Fallot
KW  -  surgery;  ventricular arrhythmias; risk stratification
TI  - Arrhythmias After Tetralogy of Fallot Repair

SP  - 312
AV  - public
EP  - 324
ER  -

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