This post contains links to and excerpts from ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 Appropriate Use Criteria for Echocardiography [PubMed Abstract] [Full Text HTML] [Full Text PDF]. J Am Soc Echocardiogr. 2011 Mar;24(3):229-67. doi: 10.1016/j.echo.2010.12.008.
Here are excerpts [Click on this link to go straight to the PDF. The Table of Contents of the article has direct links to each table]:
6. ECHOCARDIOGRAPHY APPROPRIATE USE CRITERIA
(BY INDICATION) …………………………………………………………………………………….235
Table 1: TTE for General Evaluation of Cardiac Structure
and Function ………………………………………………………………………..235
Table 2: TTE for Cardiovascular Evaluation in an
Acute Setting ………………………………………………………………………..235
Table 3: TTE for Evaluation of Valvular Function ………………236
Table 4: TTE for Evaluation of Intracardiac and
Extracardiac Structures and Chambers …………………………….237
Table 5: TTE for Evaluation of Aortic Disease…………………….237
Table 6: TTE for Evaluation of Hypertension, HF,
or Cardiomyopathy …………………………………………………………….237
Table 7: TTE for Adult Congenital Heart Disease ………………238
Table 8: TEE ……………………………………………………………………………..239
Table 9: Stress Echocardiography for Detection
of CAD/Risk Assessment: Symptomatic or
Ischemic Equivalent …………………………………………………………….239
Table 10: Stress Echocardiography for Detection
of CAD/Risk Assessment: Asymptomatic
(Without Ischemic Equivalent) ………………………………………….240
Table 11: Stress Echocardiography for Detection
of CAD/Risk Assessment: Asymptomatic (Without
Ischemic Equivalent) in Patient Populations With
Defined Comorbidities ……………………………………………………….240
Table 12: Stress Echocardiography Following
Prior Test Results ………………………………………………………………..241 Table 13: Stress Echocardiography for Risk
Assessment: Perioperative Evaluation for
Noncardiac Surgery Without Active Cardiac
Condition……………………………………………………………………….242
Table 14: Stress Echocardiography for Risk Assessment:
Within 3 Months of an ACS ……………………………………………..242
Table 15: Stress Echocardiography for Risk Assessment:
Postrevascularization (PCI or CABG) ………………………………242
Table 16: Stress Echocardiography for Assessment
of Viability/Ischemia ……………………………………………………………242
Table 17: Stress Echocardiography for Hemodynamics
(Includes Doppler During Stress) ……………………………………..243
Table 18: Contrast Use in TTE/TEE or Stress
Echocardiography ………………………………………………………………..243
7. ECHOCARDIOGRAPHY APPROPRIATE USE CRITERIA
(BY APPROPRIATE USE RATING) ……………………………………………………..244
Table 19. Appropriate Indications
(Median Score 7–9) ……………………………………………………………244
Table 20. Uncertain Indications
(Median Score 4–6) ……………………………………………………………248
Table 21. Inappropriate Indications
(Median Score 1–3) ……………………………………………………………249 8. DISCUSSION……………………………………………………………….253
APPENDIX A: ADDITIONAL ECHOCARDIOGRAPHY
DEFINITIONS……………………………………………………………… 259
Figure A1. Stepwise Approach to Perioperative
Cardiac Assessment …………………………………………………………….259
Table A1: Active Cardiac Conditions for Which
the Patient Should Undergo Evaluation and
Treatment Before Noncardiac Surgery (Class I,
Level of Evidence: B) ………………………………………………………….260
Table A2. Perioperative Clinical Risk Factors* …………………….260
APPENDIX B: ADDITIONAL METHODS ………………………….. 260
Relationships With Industry and Other Entities ………………….260
Literature Review …………………………………………………………………….260
APPENDIX C: ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/
SCCM/SCCT/SCMR 2011 APPROPRIATE USE CRITERIA
FOR ECHOCARDIOGRAPHY PARTICIPANTS ……………. 260
APPENDIX D: ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/
SCCM/SCCT/SCMR 2011 Appropriate Use Criteria for Echocardiography Writing Group, Technical Panel, Indication Reviewers,
and Task Force–Relationships With Industry and Other Entities
(in Alphabetical Order Within Each Group) ………………………….. 264
REFERENCES …………………………………………………………………………….. 266
.
