|Indication||Appropriate Use Rating|
|42.||Symptoms and/or signs suggestive of congestive heart failure, including but not limited to respiratory distress, poor peripheral pulses, feeding difficulty, decreased urine output, edema, and/or hepatomegaly||A (9)|
|43.||Chest wall deformities and scoliosis pre-operatively||M (6)|
|44.||Fatigue with no other signs and symptoms of cardiovascular disease, a normal ECG, and a benign family history||R (3)|
|45.||Signs and symptoms of endocarditis in the absence of blood culture data or a negative blood culture||A (8)|
|46.||Unexplained fever without other evidence for cardiovascular or systemic involvement||M (5)|
|47.||Central cyanosis||A (8)|
|48.||Isolated acrocyanosis||R (1)|
The number in parenthesis next to the rating reflects the median score for that indication.
Abbreviations: A = Appropriate; M = May Be Appropriate; R = Rarely Appropriate; ECG = Electrocardiogram.