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]

Overview

ACC / AHA 2008 Guidelines- Recommendations for Diagnostic Tests - Ebstein's Anomaly of the Tricuspid Valve(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)"

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