Defining variances in practice for use of electrophysiology studies in risk stratification of patients with repaired tetralogy of Fallot: a PACES survey

Kishanee J Haththotuwegama; Sarah Z Wu; Charles C Anderson

doi:10.1017/S1047951125000113

Defining variances in practice for use of electrophysiology studies in risk stratification of patients with repaired tetralogy of Fallot: a PACES survey

Cardiol Young. 2025 Feb;35(2):424-426. doi: 10.1017/S1047951125000113. Epub 2025 Jan 28.

Authors

Kishanee J Haththotuwegama¹, Sarah Z Wu², Charles C Anderson^{1

3}

Affiliations

¹ Department of Medical Education and Clinical Sciences, Elson S Floyd College of Medicine, Washington State University, Spokane, WA, USA.
² Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.
³ Providence Center for Congenital Heart Disease, Providence Sacred Heart Medical Center and Children's Hospital, Spokane, WA, USA.

PMID: 39871477
DOI: 10.1017/S1047951125000113

Abstract

Sudden cardiac death poses a significant risk in patients with surgically repaired tetralogy of Fallot. Despite extensive research, risk stratification practices vary. This study surveyed the Pediatric and Adult Congenital Electrophysiology Society to identify these differences. Results showed diverse practices in indications, methods, and interpretation of electrophysiology studies, highlighting a need for standardised algorithms to improve patient outcomes.

Keywords: Tetralogy of Fallot; electrophysiology study; sudden cardiac death; ventricular tachycardia.

MeSH terms

Adult
Cardiac Surgical Procedures*
Child
Death, Sudden, Cardiac* / epidemiology
Death, Sudden, Cardiac* / etiology
Death, Sudden, Cardiac* / prevention & control
Electrophysiologic Techniques, Cardiac*
Humans
Risk Assessment / methods
Surveys and Questionnaires
Tetralogy of Fallot* / complications
Tetralogy of Fallot* / surgery