Choosing Wisely:

Don’t repeat echocardiograms in stable, asymptomatic patients with a murmur/click, where a previous exam revealed no significant pathology.

Rationale and Comments: Repeat imaging to address the same question, when no pathology has been previously found and there has been no clinical change in the patient’s condition, is not indicated.
Sponsoring Organizations:
  • American Society of Echocardiography
  • Sources:
  • ACC/AHA guidelines
  • Disciplines:
  • Cardiovascular
  • References: • Douglas PS, et al. ACCF/ASE/AHA/ASNC/HFSA/HRS/ SCAI/SCCM/SCCT/SCMR 2011 appropriate use criteria for echocardiography. J Am Soc Echocardiogr. 2011;24:229-67.

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