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Cardiac & Vascular Imaging

ACC/AHA guidelines for the clinical application of echocardiography
American College of Cardiology/American Heart Association.

Heart failure. American Medical Directors Association
1996. 12 pages.
From the National Guideline Clearinghouse summary: "Patients with heart failure should be considered for an imaging study, such as an echocardiogram or radionuclide scan, if not previously performed, unless such a study is precluded by other factors. These imaging studies should determine whether systolic or diastolic dysfunction is dominant given that this information is imperative in selecting pharmacological management ."


Coronary artery disease with myocardial infarction
American College of Physicians. 1996 Apr 22. 5 pages (guideline); 21 pages (background paper).
From the National Guideline Clearinghouse summary: "Although the acute use of such specialized technologies as echocardiography and perfusion imaging may provide additional information in specific clinical situations, their incremental value in the acute evaluation of patients who may have an infarction has not been proven. Thus, we cannot currently recommend their routine use."


Practice management guidelines for screening of blunt cardiac injury
Eastern Association for the Surgery of Trauma. 1998. 31 pages.
From the National Guideline Clearinghouse summary: "If the patient is hemodynamically unstable, an imaging study (echocardiogram) should be obtained. If an optimal transthoracic echocardiogram cannot be performed, then the patient should have a transesophageal echocardiogram. Nuclear medicine studies add little when compared to echocardiography and, thus, are not useful if an echocardiogram has been performed."


Imaging

Acute Chest Pain, Suspected Aortic Dissection
American College of Radiology, Appropriateness Criteria

Acute Chest Pain, Suspected Myocardial Ischemia
American College of Radiology, Appropriateness Criteria

Acute Chest Pain, Suspected Pulmonary Embolism
American College of Radiology, Appropriateness Criteria

Shortness of Breath, Suspected Cardiac Origin
American College of Radiology, Appropriateness Criteria

Chronic Chest Pain, Suspected Cardiac Origin
American College of Radiology, Appropriateness Criteria

Blunt Trauma, Suspected Thoracic Aortic Injury
American College of Radiology, Appropriateness Criteria

Blunt Abdominal or Pelvic Trauma, Suspected Vascular Trauma
American College of Radiology, Appropriateness Criteria

Suspected Deep Vein Thrombosis (DVT)
American College of Radiology, Appropriateness Criteria

Pulsatile Abdominal Mass
American College of Radiology, Appropriateness Criteria

Diagnostic Imaging in Patients with Claudication
American College of Radiology, Appropriateness Criteria

Acute Chest Pain - No ECG Evidence of Myocardial Ischemia/Infarction
American College of Radiology, Appropriateness Criteria

Chronic Chest Pain Without Evidence of Myocardial Ischemia/Infarction
American College of Radiology, Appropriateness Criteria

Suspected Congenital Heart Disease in the Adult
American College of Radiology, Appropriateness Criteria

Suspected Bacterial Endocarditis
American College of Radiology, Appropriateness Criteria

Hematemesis
American College of Radiology, Appropriateness Criteria

Unilateral Arm Swelling
American College of Radiology, Appropriateness Criteria

Sudden Onset of Cold Painful Leg
American College of Radiology, Appropriateness Criteria

Recurrent Symptoms Following Lower Extremity Angioplasty: Claudication and Threatened Limb
American College of Radiology, Appropriateness Criteria

Recurrent Symptoms Following Lower Extremity Arterial Bypass Surgery
American College of Radiology, Appropriateness Criteria

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