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BACKGROUND Transesophageal echocardiography (TEE) is an essential diagnostic tool that has gained widespread use in clinical cardiology. It is considered reasonably noninvasive and safe; however, insertion and operation of the TEE probe may cause hypopharyngeal, esophageal, or gastric trauma. The current study reports a single-center experience of(More)
WRITING COMMITTEE MEMBERS Robert C. Hendel, MD, FACC, FAHA, FASNC, Chair; Matthew J. Budoff, MD, FACC, FAHA*; John F. Cardella, MD, FSIR, FACR, FAHA†; Charles E. Chambers, MD, FACC, FSCAI‡; John M. Dent, MD, FACC§; David M. Fitzgerald, MD, FACC, FHRS ; John McB. Hodgson, MD, FACC, FSCAI‡; Elizabeth Klodas, MD, FACC; Christopher M. Kramer, MD, FACC, FAHA¶;(More)
BACKGROUND Peripheral arterial disease (PAD) is a potent marker of adverse cardiovascular prognosis, yet PAD frequently remains asymptomatic or undiagnosed. Erectile dysfunction (ED) has been associated with atherosclerosis, but whether ED is an independent predictor of PAD is unknown. We hypothesized that ED is a marker for previously undiagnosed PAD, and(More)
BACKGROUND Women have a higher operative mortality (OM) after coronary artery bypass graft (CABG) surgery than men. Suggested contributing factors have included women's increased age, advanced disease, comorbidities, and smaller body surface area (BSA). It is unclear whether women's increased risk factors fully account for this difference or whether female(More)
BACKGROUND AND PURPOSE Findings on transesophageal echocardiography (TEE) after ischemic stroke predict recurrent embolic events and prompt therapy; however, the additive predictive power of TEE findings on long-term mortality is unknown. Our goal was to study the impact of TEE findings on all cause mortality in ischemic stroke patients referred for TEE. (More)
We sought to prospectively evaluate the clinical application of the American College of Cardiology Foundation/American Society of Echocardiography Appropriateness Criteria (AC) for transthoracic echocardiography in a single-center university hospital. Indications for transthoracic echocardiograms (TTE) were prospectively determined for consecutive studies(More)
BACKGROUND The American College of Cardiology Foundation/American Society of Nuclear Cardiology appropriateness criteria (AC) were created to guide responsible use of single photon emission computed tomography (SPECT). Clinical applicability of the AC has not been evaluated. METHODS AND RESULTS Indications for testing were determined in 1209 patients and(More)
BACKGROUND The aim of this study was to evaluate the clinical application of the American College of Cardiology Foundation and American Society of Echocardiography appropriateness criteria for stress echocardiography (SE) in a single-center university hospital. METHODS Indications were determined for consecutive studies by two reviewers and categorized as(More)
BACKGROUND Clinical application of the American College of Cardiology Foundation Appropriate Use Criteria (AUC) represents a potentially feasible alternative to third-party pre-certification for imaging procedures and will soon be required as part of the accreditation process for imaging laboratories. Electronic tools that rapidly apply the AUC are needed(More)