TY - JOUR
T1 - Transesophageal echocardiography in the awake elderly patient
T2 - Its role in the clinical decision-making process
AU - Zabalgoitia, Miguel
AU - Gandhi, Dipeshkumar K.
AU - Evans, James
AU - Mehlman, David J.
AU - McPherson, David D.
AU - Talano, James V.
PY - 1990/11
Y1 - 1990/11
N2 - 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.
AB - 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.
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U2 - 10.1016/0002-8703(90)90129-L
DO - 10.1016/0002-8703(90)90129-L
M3 - Article
C2 - 2239667
AN - SCOPUS:0025086157
SN - 0002-8703
VL - 120
SP - 1147
EP - 1153
JO - American heart journal
JF - American heart journal
IS - 5
ER -
