Which physical findings are characteristic of tetralogy of Fallot (TOF) in adults?

Updated: Nov 13, 2018
  • Author: Shabir Bhimji, MD, PhD; Chief Editor: Yasmine S Ali, MD, FACC, FACP, MSCI  more...
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Physical findings in adults include the following:

  • Exertional dyspnea

  • Syncope

  • Palpitations

  • Evidence of right-sided heart failure (eg, elevated jugular venous pressure [JVP], ascites, peripheral edema, hepatomegaly)

  • Large "A wave" in JVP tracings

  • In individuals with pulmonary valve insufficiency: Low-pitched, short diastolic murmur; may have an extra heart sound (ejection click); may have a murmur

  • RV dysfunction, arrhythmias

See Presentation for more detail.

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