Table 3

Ten most common rarely appropriate indications in prospective internal validation cohort

Indication#Proportion
88Routine surveillance (<1 year) of known cardiomyopathy without a change in clinical status or cardiac examination70.19
10Initial evaluation of ventricular function (eg, screening) with no symptoms or signs of cardiovascular disease50.14
53Transient fever without evidence of bacteraemia or a new murmur40.11
60Routine surveillance of known small pericardial effusion with no change in clinical status30.08
35Initial evaluation when there are no other symptoms or signs of valvular or structural heart disease20.05
36Re-evaluation in a patient without valvular disease on prior echocardiogram and no change in clinical status or cardiac examination20.05
40Routine surveillance (<1 year) of moderate or severe valvular stenosis without a change in clinical status or cardiac examination20.05
48Routine surveillance (<3 years after valve implantation) of prosthetic valve if no known or suspected valve dysfunction20.05
74Routine surveillance (<1 year) of HF (systolic or diastolic) when there is no change in clinical status or cardiac examination20.05
79Routine surveillance (<1 year) of implanted device without a change in clinical status or cardiac examination20.05