ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 appropriateness criteria for transthoracic and transesophageal echocardiography
ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 appropriateness criteria for transthoracic and transesophageal echocardiography
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DOI：
10.1016/j.echo.2007.06.011
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发表时间：
2007-07-01
影响因子：
6.5
通讯作者：
Allen, Joseph M.
中科院分区：
文献类型：
--
作者：
Douglas, Pamela S.;Khandheria, Bijoy;Allen, Joseph M.
美国心脏病学会基金会(ACCF)和美国超声心动图学会(ASE)与主要专科和专科学会一起，对经胸和经食道超声心动图(TTE/TEE)的适宜性进行了评估。这篇综述评估了TTE和/或TEE在几种适应症或临床情况下的风险和益处，并根据1到9的等级对它们进行了评分。上限(7到9)意味着测试一般可以接受，是一种合理的方法，而较低的范围(1到3)意味着测试通常是不可接受的，不是合理的方法。中值范围(4到6)表示超声心动图的适应症不确定的临床情况。这篇综述的适应症来自于常见的应用或预期用途以及当前的临床实践指南。TTE/TEE用于结构和功能的初步评估被看好，而常规重复测试和某些临床场景中的一般筛查用途则不被看好。预计这些结果将对医生的决策和绩效、报销政策产生重大影响，并将有助于指导未来的研究。
The American College of Cardiology Foundation (ACCF) and the American Society of Echocardiography (ASE), together with key specialty and subspecialty societies, conducted an appropriateness review for transthoracic and transesophageal echocardiography (TTE/TEE). This review assesses the risks and benefits of TTE and/or TEE for several indications or clinical scenarios and scored them based on a scale of 1 to 9. The upper range (7 to 9) implies that the test is generally acceptable and is a reasonable approach, and the lower range (1 to 3) implies that the test is generally not acceptable and is not a reasonable approach. The midrange (4 to 6) indicates a clinical scenario for which the indication for an echocardiogram is uncertain.The indications for this review were drawn from common applications or anticipated uses as well as current clinical practice guidelines. Use of TTE/TEE for initial evaluation of structure and function was viewed favorably, while routine repeat testing and general screening uses in certain clinical scenarios were viewed less favorably. It is anticipated that these results will have a significant impact on physician decision-making and performance, reimbursement policy, and will help guide future research.