Table 9

Stress Study for Hemodynamics (Includes Doppler During Stress)

IndicationAppropriateness Score (1–9)
Valvular Stenosis
43.
  • Evaluation of equivocal aortic stenosis

  • Evidence of low cardiac output

  • Use of dobutamine

A (8)
44.
  • Asymptomatic individuals

  • Mild to moderate mitral stenosis

U (5)
45.
  • Symptomatic individuals

  • Mild mitral stenosis

A (7)
46.
  • Severe aortic or mitral stenosis

I (2)
47.
  • Asymptomatic severe AI or MR

  • LV size and function not meeting surgical criteria

A (7)
48.
  • Severe AI or MR

  • Symptomatic or with severe LV enlargement or LV systolic dysfunction

I (2)
Pulmonary Hypertension
49.
  • Suspected pulmonary hypertension

  • Normal or indeterminate resting echo study

U (5)