What is the role of transthoracic echocardiography in perioperative cardiac management?

Updated: Feb 04, 2019
  • Author: Davinder Jassal, MD; Chief Editor: William A Schwer, MD  more...
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Answer

Answer

Noninvasive measurement of left ventricular systolic dysfunction was once considered predictive of increased perioperative cardiac complications because the noninvasive measurement was considered an indirect measurement of left heart failure. This finding no longer holds true because transthoracic echocardiography does not provide any further data over the clinical cardiac examination for predicting perioperative cardiac complications. Although a high ejection fraction is associated with a low perioperative cardiac risk, even a normal ejection fraction cannot exclude severe coronary artery disease. Transthoracic echocardiography does play an important role in evaluating the severity of stenotic and regurgitant valvular lesions.


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