Tetralogy of Fallot

Overview

4.6 out of 5 (17 Reviews)

Credits

1.50

Post Assessment Questions

10

Start Date

19 Jul 2022

Last Review Date

14 Feb 2024

Expiration Date

31 Dec 2023

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.

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

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.50 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE 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.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

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

Teresa c. on 12/25/2021

Kathryn R. on 4/23/2022

Ravi J. on 1/17/2023

Ajay P. on 5/6/2023

Gautam P. on 5/24/2023

Jochen S. on 8/24/2023

John A. on 11/16/2023

Leah J. on 1/16/2024

excellent program

anthony l. on 12/27/2023

Margarita b. on 1/8/2024

Sandra J. on 4/1/2024

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