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ACR Appropriateness Criteria® Dyspnea-Suspected Cardiac Origin (Ischemia Already Excluded): 2021 Update.

Publication ,  Journal Article
Expert Panel on Cardiac Imaging, ; Bolen, MA; Bin Saeedan, MN; Rajiah, P; Ahmad, S; Dibble, EH; Diercks, DB; El-Sherief, AH; Farzaneh-Far, A ...
Published in: J Am Coll Radiol
May 2022

Dyspnea is the symptom of perceived breathing discomfort and is commonly encountered in a variety of clinical settings. Cardiac etiologies of dyspnea are an important consideration; among these, valvular heart disease (Variant 1), arrhythmia (Variant 2), and pericardial disease (Variant 3) are reviewed in this document. Imaging plays an important role in the clinical assessment of these suspected abnormalities, with usually appropriate procedures including resting transthoracic echocardiography in all three variants, radiography for Variants 1 and 3, MRI heart function and morphology in Variants 2 and 3, and CT heart function and morphology with intravenous contrast for Variant 3. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2022

Volume

19

Issue

5S

Start / End Page

S37 / S52

Location

United States

Related Subject Headings

  • United States
  • Tomography, X-Ray Computed
  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Ischemia
  • Humans
  • Heart Diseases
  • Dyspnea
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
 

Citation

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Expert Panel on Cardiac Imaging, ., Bolen, M. A., Bin Saeedan, M. N., Rajiah, P., Ahmad, S., Dibble, E. H., … Abbara, S. (2022). ACR Appropriateness Criteria® Dyspnea-Suspected Cardiac Origin (Ischemia Already Excluded): 2021 Update. J Am Coll Radiol, 19(5S), S37–S52. https://doi.org/10.1016/j.jacr.2022.02.014
Expert Panel on Cardiac Imaging, Suhny, Michael A. Bolen, Mnahi Nayef Bin Saeedan, Prabhakar Rajiah, Sarah Ahmad, Elizabeth H. Dibble, Deborah B. Diercks, et al. “ACR Appropriateness Criteria® Dyspnea-Suspected Cardiac Origin (Ischemia Already Excluded): 2021 Update.J Am Coll Radiol 19, no. 5S (May 2022): S37–52. https://doi.org/10.1016/j.jacr.2022.02.014.
Expert Panel on Cardiac Imaging, Bolen MA, Bin Saeedan MN, Rajiah P, Ahmad S, Dibble EH, et al. ACR Appropriateness Criteria® Dyspnea-Suspected Cardiac Origin (Ischemia Already Excluded): 2021 Update. J Am Coll Radiol. 2022 May;19(5S):S37–52.
Expert Panel on Cardiac Imaging, Suhny, et al. “ACR Appropriateness Criteria® Dyspnea-Suspected Cardiac Origin (Ischemia Already Excluded): 2021 Update.J Am Coll Radiol, vol. 19, no. 5S, May 2022, pp. S37–52. Pubmed, doi:10.1016/j.jacr.2022.02.014.
Expert Panel on Cardiac Imaging, Bolen MA, Bin Saeedan MN, Rajiah P, Ahmad S, Dibble EH, Diercks DB, El-Sherief AH, Farzaneh-Far A, Francois CJ, Galizia MS, Hanneman K, Inacio JR, Johri AM, Khosa F, Krishnamurthy R, Lenge de Rosen V, Singh SP, Teng K, Villines TC, Young PM, Zimmerman SL, Abbara S. ACR Appropriateness Criteria® Dyspnea-Suspected Cardiac Origin (Ischemia Already Excluded): 2021 Update. J Am Coll Radiol. 2022 May;19(5S):S37–S52.
Journal cover image

Published In

J Am Coll Radiol

DOI

EISSN

1558-349X

Publication Date

May 2022

Volume

19

Issue

5S

Start / End Page

S37 / S52

Location

United States

Related Subject Headings

  • United States
  • Tomography, X-Ray Computed
  • Societies, Medical
  • Nuclear Medicine & Medical Imaging
  • Ischemia
  • Humans
  • Heart Diseases
  • Dyspnea
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services