Transesophageal echocardiography in the awake elderly patient: Its role in the clinical decision-making process

Miguel Zabalgoitia*, Dipeshkumar K. Gandhi, James Evans, David J. Mehlman, David D. McPherson, James V. Talano

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

To assess the impact on the management and safety of transesophageal echocardiography (TEE) in the elderly population, the results and limitations of this technique were retrospectively analyzed in 88 patients. TEE was indicated whenever the transthoracic approach was not diagnostic or was inconsistent with the clinical setting. The most frequent clinical indications were to investigate the source of emboli, assess valvular regurgitation, and identify valvular vegetations. In 72 patients (82%) TEE significantly influenced management decisions. In selected patients TEE avoided the use of more invasive diagnostic procedures. Adverse effects included occasional premature atrial or ventricular beats (11 patients), sinus bradycardia (six patients), and protracted nausea (one patient). We conclude that in elderly patients with cardiovascular diseases, TEE plays a significant role in the decision-making process without adding a significant risk.

Original languageEnglish (US)
Pages (from-to)1147-1153
Number of pages7
JournalAmerican heart journal
Volume120
Issue number5
DOIs
StatePublished - Nov 1990

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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