Tetralogy of fallot primary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

There are no established measures for the primary prevention of Tetralogy of Fallot.

Primary Prevention

There are no established measures for the primary prevention of Tetralogy of Fallot.

Prevention of Cyanosis

The following factors may reduce systemic vascular resistance (SVR) and exacerbate shunting which in turn exacerbate cyanosis and should be avoided if at all possible:^[1]

Acidosis
Bathing in hot water
Fever
Stress
Infection
Posture (upright, not squatting)
Exercise
Beta-adrenergic agonists
Dehydration
Closure of the patent ductus arteriosus

Prevention of Infective Endocarditis

Antibiotic prophylaxis should be administered.

References

↑ CRAIG JM, DARLING RC, ROTHNEY WB (1957). “Total pulmonary venous drainage into the right side of the heart; report of 17 autopsied cases not associated with other major cardiovascular anomalies”. Lab. Invest. 6 (1): 44–64. PMID 13386206.

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[pmid13386206-1] CRAIG JM, DARLING RC, ROTHNEY WB (1957). “Total pulmonary venous drainage into the right side of the heart; report of 17 autopsied cases not associated with other major cardiovascular anomalies”. Lab. Invest. 6 (1): 44–64. PMID 13386206.

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