Ebsteins anomaly of the tricuspid valve ACC/AHA Guidelines for diagnostic tests

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease (DO NOT EDIT)[1][2]

Diagnostic Tests (DO NOT EDIT)[1][2]

Class I
"1. ECG, chest x-ray, and echocardiography-Doppler are recommended for the diagnostic evaluation of Ebstein’s anomaly in adult patients. (Level of Evidence: C)"
Class IIa
"1. Pulse oximetry at rest and/or during exercise can be useful in the diagnostic evaluation of Ebstein’s anomaly in adult patients. (Level of Evidence: C)"
"2. An electrophysiological study can be useful in the diagnostic evaluation of Ebstein’s anomaly in adult patients if a supraventricular arrhythmia is documented or suspected (subsequent radiofrequency catheter ablation should be considered if clinically feasible). (Level of Evidence: C)"
"3. The following additional diagnostic tests can be useful for the comprehensive evaluation of Ebstein’s anomaly

in adult patients:

a. Doppler TEE examination if the anatomic information is not provided by transthoracic imaging. (Level of Evidence: B)
b. Holter monitoring. (Level of Evidence: B)
c. Electrophysiological study for history or ECG evidence of accessory pathway(s). (Level of Evidence: B)
d. Coronary angiography, when surgical repair is planned, if there is a suspicion of coronary artery disease, and in men 35 years or older, premenopausal women 35 years or older who have coronary risk factors, and postmenopausal women. (Level of Evidence: B)"

References

  1. 1.0 1.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: Executive Summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines for the management of adults with congenital heart disease)". Circulation. 118 (23): 2395–451. doi:10.1161/CIRCULATIONAHA.108.190811. PMID 18997168.
  2. 2.0 2.1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA; et al. (2008). "ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". J Am Coll Cardiol. 52 (23): e1–121. doi:10.1016/j.jacc.2008.10.001. PMID 19038677.

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