Do you routinely order a pre-operative TTE in patients with apparently compensated CHF, but who have not had an echocardiogram in some time?
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How recently do you prefer a compensated CHF patient to have had an echocardiogram prior to surgery to evaluate baseline cardiac function?
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4 Answers
Mednet MemberInvited Expert
Hospital Medicine · University of Washington
Answered on · Updated on
In a patient with compensated CHF (with stable symptoms), I do not routinely order pre-operative echocardiograms for evaluation of ejection fraction. There are some situations in which it may be helpful for perioperative risk assessment, counseling, and management.
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Mednet MemberInvited Expert
Hospital Medicine · University of California, San Diego
Answered on
Often
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Mednet Member
Cardiology · Lankenau Heart Group
Answered on
Maybe.
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Mednet MemberInvited Expert
Cardiology · University of Central Florida College of Medicine
Answered on
I agree, the ACC/AHA guidelines recommend no pre-op echo in stable HF patients with known low EF.
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