Ebsteins anomaly of the tricuspid valve ACC/AHA Guidelines for diagnostic tests: Difference between revisions
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==ACC / AHA Guidelines- Recommendations for Diagnostic Tests (DO NOT EDIT)== | ==ACC / AHA Guidelines- Recommendations for Diagnostic Tests (DO NOT EDIT)== | ||
1. ECG, chest x-ray, and echocardiography-Doppler are | {| class="wikitable" | ||
recommended for the diagnostic evaluation of Ebstein’s | |- | ||
anomaly in adult patients. (Level of Evidence: C) | | colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | ||
|- | |||
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' ECG, chest x-ray, and echocardiography-Doppler are recommended for the diagnostic evaluation of Ebstein’s anomaly in adult patients. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])'' <nowiki>"</nowiki> | |||
|} | |||
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]= | {| class="wikitable" | ||
1. Pulse oximetry at rest and/or during exercise can be | |- | ||
useful in the diagnostic evaluation of Ebstein’s anomaly | | colspan="1" style="text-align:center; background:LemonChiffon"| [[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]] | ||
in adult patients. (Level of Evidence: C) | |- | ||
| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.'''Pulse oximetry at rest and/or during exercise can be useful in the diagnostic evaluation of Ebstein’s anomaly in adult patients. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | |||
|- | |||
| bgcolor="LemonChiffon"|'''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).([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | |||
|- | |||
| bgcolor="LemonChiffon"|'''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. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]]) | |||
(Level of Evidence: | |||
b. Holter monitoring. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]]) | |||
of Evidence: B) | |||
c. Electrophysiological study for history or ECG evidence of accessory pathway(s). ([[ACC AHA guidelines classification scheme#Level of Evidence|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 | 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. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])<nowiki>"</nowiki> | ||
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== | ==References== | ||
Revision as of 15:58, 3 October 2012
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Ebsteins anomaly of the tricuspid valve Microchapters | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
ACC / AHA Guidelines- Recommendations for Diagnostic Tests (DO NOT EDIT)
| 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)" |