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
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
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