As per state of Ohio guidelines during the COVID-19 pandemic, the following recommendations will be made concerning appropriateness of ordering and performing outpatient transesophageal echocardiograms, echocardiograms and stress tests at Kettering Health Network sites.
The echocardiogram or stress test provides essential information that may guide further patient management decisions in situations where there is:
- Threat to the patient’s life if surgery or procedure is not performed
- Threat of permanent dysfunction of an extremity or organ system
- Risk of metastasis or progression of staging
- Risk of rapidly worsening severe symptoms (time sensitive)
Please note that one of the following diagnoses alone is NOT a justification for ordering these tests. The diagnosis MUST be paired with the clinical belief that there is a reasonable possibility that failure to obtain the test could result in one of the above negative patient outcomes. Providers will be expected to order tests based on their best clinical judgment and will defer elective testing in stable patients at this time.
Below is a list of diagnoses that may qualify for and echocardiogram or stress test if they meet the following criteria:
Echocardiogram Diagnoses:
Atrial fibrillation or flutter
Amyloidosis
Aortic stenosis
Aortic regurgitation/insufficiency
Chest pain
CHF
Cardiomyopathy (multiple types)
Coronary artery disease (CAD)
Cor pulmonale
Dyspnea
Dizziness
Edema
Endocarditis suspected
Left ventricular hypertrophy
Hypertrophic cardiomyopathy
Pericarditis
Pericardial effusion
Mitral stenosis
Mitral regurgitation or insufficiency
Murmur
Myocarditis
Prosthetic valve evaluation (any type)
Pulmonary embolism
Pulmonary hypertension
Pulmonic stenosis
Pulmonic regurgitation or insufficiency
Rheumatic fever
Sarcoidosis
Stroke
Shortness of breath
Syncope
Tricuspid valve regurgitation or insufficiency
Tricuspid stenosis
Stress Testing Diagnoses:
Angina
Aortic stenosis
Aortic regurgitation/insufficiency
Atrial fibrillation or flutter
CABG (coronary artery bypass grafting)
Chest pain
CHF
Chronotropic incompetence
Cardiomyopathy (multiple types)
Coronary artery disease (CAD)
Chest pain
Dyspnea
Dizziness
Hypertrophic cardiomyopathy
Mitral stenosis
Mitral regurgitation or insufficiency
Murmur
Myocarditis
Pulmonary embolism
Pulmonary hypertension
Pulmonic stenosis
Pulmonic regurgitation or insufficiency
Sarcoidosis
Syncope
Tricuspid valve regurgitation or insufficiency
Tricuspid stenosis