ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 Appropriateness Criteria for Transthoracic and Transesophageal Echocardiography - Report

Oct 2, 2026

Uploaded by cksankcs

2007 appropriateness criteria for transthoracic and transesophageal echocardiography define standardized recommendations for cardiovascular imaging use across clinical scenarios. The document outlines general assumptions for TTE/TEE, describes methods for evaluating appropriateness, and presents structured results for ratings. It organizes indications by both clinical presentation and appropriateness category, including median-score groups for appropriate and uncertain uses. Supporting material includes table-based evaluations of structure and function, acute settings, valvular and intracardiac/extracardiac assessment, aortic disease, hypertension/heart failure/cardiomyopathy, and specific guidance on transesophageal echocardiography.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages18

Reading Time45 min

AccessFree to download

Abstract

Preface

Introduction

Methods

General Assumptions for TTE/TEE

Abbreviations

TTE/TEE Assumptions

Results of Ratings

TTE/TEE Appropriateness Criteria (by Indication)

Table 1-9

Journal of the American College of Cardiology Vol. xx, No. x, 2007 © 2007 by the American College of Cardiology Foundation ISSN 0735-1097/07/$32.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2007.05.003 | ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR APPROPRIATENESS CRITERIA | | | | --- | --- | --- | | ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR
2007 Appropriateness Criteria for Transthoracic and Transesophageal Echocardiography*
A Report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American Society of Echocardiography, American College of Emergency Physicians, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and the Society for Cardiovascular Magnetic Resonance
Endorsed by the American College of Chest Physicians and the Society of Critical Care Medicine | | | | TTE/TEE
Appropri
ateness Criteria Writing Group | Pamela S. Douglas, MD, MACC, FAHA, FASE, Chair
Bijoy Khandheria, MD, FACC, FASE† | Raymond F. Stainback, MD, FACC, FASE† Neil J. Weissman, MD, FACC, FAHA, FASE
†American Society of Echocardiography Representative | | TTE/TEE Appropriateness Criteria Technical Panel Members | Ralph G. Brindis, MD, MPH, FACC, Moderator
Manesh R. Patel, MD, Methodology Liaison
Bijoy Khandheria, MD, FACC, FASE, Writing Group Liaison†
Joseph S. Alpert, MD, FACC, FAHA‡ | Kim D. Reed, MD, JD, MBA
John S. Rumsfeld, MD, PHD, FACC, FAHA Anthony E. Steimle, MD, FACC
Russ Tonkovic, MD, FACC
Krishnaswami Vijayaraghavan, MD, MS, FACC**
Neil J. Weissman, MD, FACC, FAHA† | | David Fitzgerald, MD, FACC, FHRS§
Paul Heidenreich, MS, MD, FACC | | Susan Bok Yeon MD, JD, FACC􀀁 | | Edward T. Martin, MS, MD, FACC, FAHA􀀁 | | †American Society of Echocardiography Representative; ‡American | | Joseph V. Messer, MD, MACC, FAHA, FSCAI
Alan B. Miller, MD, FACC, FAHA¶ | | Heart Association Representative; §Heart Rhythm Society Representative; 􀀁Society for Cardiovascular Magnetic Resonance Representative;¶Heart Failure Society of America Representative; \#Society of Cardio- | | Michael H. Picard, MD, FACC, FAHA† | | vascular Computed Tomography Representative; **American College | | Paolo Raggi, MD, FACC\# | | of Chest Physicians Representative | | ACCFAppropri
ateness Criteria Working Group | Ralph G. Brindis, MD, MPH, FACC, Chair
Pamela S. Douglas, MD, MACC, FAHA Robert C. Hendel, MD, FACC, FAHA, FASNC Manesh R. Patel, MD | Eric Peterson, MD, MPH, FACC, FAHA Michael J. Wolk, MD, MACC
Joseph M. Allen, MA | *Developed in accordance with the principles and methodology outlined by ACCF: Patel MR, Spertus JA, Brindis RG, Hendel RC, Douglas PS, Peterson E, Wolk MJ, Allen JM, Raskin IE. ACCF proposed method for evaluating the appropriateness of cardiovascular imaging. J Am Coll Cardiol 2005;46:1606-13 (1) . 2 Douglas et al. JACC Vol. xx, No. x, 2007 Appropriateness Criteria for Echocardiography Month 2007:000–00 |
TABLE OF CONTENTS
Abstract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .XXXX | | --- | | Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .XXXX | | Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .XXXX | | Methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .XXXX | | General Assumptions for TTE/TEE. . . . . . . . . . . . . . . . . . . . .XXXX
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .XXXX | | TTE/TEE Assumptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .XXXX | | Results of Ratings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .XXXX | | TTE/TEE Appropriateness Criteria (by

FAQs

What imaging modalities are covered by these 2007 appropriateness criteria?

The criteria cover transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE), with recommendations organized by clinical indication and appropriateness category.

How are recommendations organized in the document?

Recommendations are presented using structured ratings, with results grouped by indication and by appropriateness category, including tables for different clinical evaluation types.

What types of clinical evaluations are included in the tables?

The document includes table-based evaluations for structure and function, acute settings, valvular function, intracardiac/extracardiac structures, aortic disease, and hypertension/heart failure/cardiomyopathy, as well as the use of TEE.

Oct 2, 2026

Uploaded by cksankcs