Right ventricular outflow tract obstruction clinical symptoms

Associate Editor-In-Chief: ; Keri Shafer, M.D. [mailto:kshafer@bidmc.harvard.edu]

Clinical Symptoms
Symptoms develop in only approximately 25% of patients because progression of the disease is infrequent.


 * 1) Chest pain
 * 2) Syncope
 * 3) Congestive heart failure
 * 4) Dyspnea
 * 5) Fatigue
 * 6) Pedal edema
 * 7) Cough
 * 8) Cough with pink frothy sputum
 * 9) Cardiomegaly

With a gradient of > 75 mm Hg symptoms include fatigability, DOE, angina, syncope and central cyanosis if there is a right-to-left shunt through a patent foramen ovale (PFO).