Links To And Excerpts From The “2014 Appropriate Use Criteria for Initial Transthoracic Echocardiography in Outpatient Pediatric Cardiology”

This post consists of links to and excerpts from The 2014 Appropriate Use Criteria for Initial Transthoracic Echocardiography in Outpatient Pediatric Cardiology [PubMed Abstract] [Full Text HTML] [Full Text PDF]. J Am Coll Cardiol. 2014 Nov 11;64(19):2039-60. doi: 10.1016/j.jacc.2014.08.003. Epub 2014 Sep 29.

See also Links to The 2020 Appropriate Use Criteria [Guidelines] For Multimodality Imaging During Follow-Up Care Of Patients With Congenital Heart Disease
Posted on January 12, 2020 by Tom Wade MD.

Here are excerpts from the 2014 Pediatric Echo Guidelines:

8. FLOW DIAGRAMS FOR COMMON PATIENT SYMPTOMS

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Text

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Figure 7. Clinical Presentations based on Family History and Test Findings [from ONLINE APPENDIX: 2014 Appropriate Use Criteria for Initial Transthoracic Echocardiography in Outpatient Pediatric Cardiology]

To review figures 7a through 7d, click on ONLINE APPENDIX: 2014 Appropriate Use Criteria for Initial Transthoracic Echocardiography in Outpatient Pediatric Cardiology

6. RESULTS

The final ratings for pediatric echocardiography are listed
by indication in Tables 1 to 9. The final score for each
indication reflects the median score of the 15 Rating
Panel members and has been labeled according to the
categories of Appropriate (median 7 to 9), May Be
Appropriate (median 4 to 6), or Rarely Appropriate (median 1 to 3). In the tables, the final score for each indication is shown in parentheses with the ratings. Out of 113 total indications, 53 were considered Appropriate (47%), 28 were considered May Be Appropriate (25%), and 32 were considered Rarely Appropriate (28%). To see the indications listed by Appropriate Use rating, see the Online Appendix. The Discussion section highlights
further trends in scoring.

7. TRANSTHORACIC ECHOCARDIOGRAPHY IN OUTPATIENT PEDIATRIC CARDIOLOGY: APPROPRIATE USE CRITERIA (BY INDICATION)

Table 1: Palpitations and Arrythmias

Table 2: Syncope

Table 3: Chest Pain

Table 4: Murmur

Table 5: Other Signs And Symptoms

Table 6: Prior Test Results

Table 7: Systemic Disorders

Table 8: Family History of Cardiovascular Disease in Patients Without Signs or Symptoms and Without Confirmed Cardiac Diagnosis

Table 9: Outpatient Neonates Without Post-Natal Cardiology Evaluation

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