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

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Ebstein's anomaly of the tricuspid valve}}

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

ACC / AHA Guidelines- Recommendations for Diagnostic Tests (DO NOT EDIT)

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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)

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