Skip to main content

Hypercyanotic Spells

  • Chapter
  • First Online:
Cardiac Emergencies in Children

Abstract

Hypercyanotic spells are paroxysmal hypoxic episodes that are associated with certain congenital heart defects that comprise an unrestricted interventricular communication and a compromised or potentially compromised pulmonary blood flow. A typical example of such lesions is the Tetrology of Fallot.

Hypercyanotic spells either are self-resolved or respond to medical treatment when promptly recognized and aggressively treated. On the other hand, serious consequences can result from delayed treatment as these episodes can lead to vicious cycle of worsening hypoxia and acidosis resulting in arrhythmias, brain injury, and even death.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kothari SS. Mechanism of cyanotic spells in tetralogy of Fallot—the missing link? Int J Cardiol. 1992;37(1):1–5.

    Article  CAS  Google Scholar 

  2. Wood P. Attacks of deeper cyanosis and loss of consciousness (syncope) in Fallot’s tetralogy. Br Heart J. 1958;20(2):282–6.

    CAS  PubMed  Google Scholar 

  3. Guntheroth WG, Morgan BC, Mullins GL. Physiologic studies of paroxysmal hyperpnea in cyanotic congenital heart disease. Circulation. 1965;31:70–6.

    Article  CAS  Google Scholar 

  4. Rudolph AM. Wiley Online Library (online service), Congenital diseases of the heart clinical-physiological considerations. 3rd ed. Chichester, Hoboken: Wiley-Blackwell; 2009. http://onlinelibrary.wiley.com/book/10.1002/9781444311822.

    Google Scholar 

  5. Moller JH, Hoffman JIE. Pediatric cardiovascular medicine. 1st ed. Philadelphia: Churchill Livingstone; 2000.

    Google Scholar 

  6. Allen HD, Driscoll DJ, Shaddy RE, Feltes TF. Moss & Adams’ heart disease in infants, children, and adolescents, including the fetus and young adult. Eighth edition. Wolters Kluwer/Lippincott Williams & Wilkins; 2013.

    Google Scholar 

  7. Shaddy RE, Viney J, Judd VE, McGough EC. Continuous intravenous phenylephrine infusion for treatment of hypoxemic spells in tetralogy of Fallot. J Pediatr. 1989;114(3):468–70.

    Article  CAS  Google Scholar 

  8. Garson A Jr, Gillette PC, McNamara DG. Propranolol: the preferred palliation for tetralogy of Fallot. Am J Cardiol. 1981;47(5):1098–104.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sabrina M. Heidemann M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ahmed, T., Sanil, Y., Heidemann, S.M. (2018). Hypercyanotic Spells. In: Sarnaik, A., Ross, R., Lipshultz, S., Walters III, H. (eds) Cardiac Emergencies in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-73754-6_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-73754-6_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73753-9

  • Online ISBN: 978-3-319-73754-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics