The Role of Cardiopulmonary Testing to Risk Stratify Tetralogy of Fallot Patients

• DOI: 10.1016/j.cjcpc.2023.10.007
• Publication Date: 2023-10-18T08:13:45Z
• Authors: Benedetta Leonardi; Barbara Cifra

Neonatal repair has completely changed the clinical history of patients with tetralogy Fallot (ToF); however, these carry a significant risk severe arrhythmias and sudden cardiac death in long term. The exact mechanism for late is multifactorial still not well defined, stratification primary prophylaxis remains challenging. Cardiopulmonary exercise testing (CPET) well-established safe method to assess cardiopulmonary function children adults congenital heart disease. Several parameters obtained CPET have been identified as potential prognostic major adverse cardiovascular events routinely used functional capacity also ToF, there some evidence showing its usefulness predicting repaired ToF. Current guidelines recognize importance evaluation management but no clear consensus on which parameter or level intolerance, measured by CPET, truly predictive an increased arrhythmia this population. Therefore, aim narrative review describe current use