Treating tet spells with Disopyramide in a 72-year-old awaiting primary repair of tetralogy of Fallot
Kalapurakal GT, Monaco JM. Treating Tet Spells With Disopyramide in a 72-Year-Old Awaiting Primary Repair of Tetralogy of Fallot. JACC Case Rep. 2023;28:102093. Published 2023 Nov 3. doi:10.1016/j.jaccas.2023.102093
An adult with unrepaired tetralogy of Fallot presented with frequent tet spells. Her course was complicated by severe cyanotic spells and tachycardia-bradycardia syndrome that limited beta blocker use to stabilize her spells. She markedly improved after disopyramide initiation and underwent successful tetralogy of Fallot repair with excellent functional outcome.