Table 1

Rarely appropriate tests found in derivation group

AC itemCountProportionRoutine surveillanceLack of change in clinical status/evaluation of symptoms without other symptoms/signs of cardiac disease
35Initial evaluation when there are no other symptoms or signs of valvular or structural heart disease250.36NoYes
53Transient fever without evidence of bacteraemia or a new murmur180.26NoYes
10Initial evaluation of ventricular function (eg, screening) with no symptoms or signs of cardiovascular disease60.09NoYes
28Suspected pulmonary embolism in order to establish diagnosis40.06NoNo
54Transient bacteraemia with a pathogen not typically associated with infective endocarditis and/or a documented non-endovascular source of infection40.06NoNo
88Routine surveillance (<1 year) of known cardiomyopathy without a change in clinical status or cardiac examination30.04YesYes
8Light-headedness/presyncope when there are no other symptoms or signs of cardiovascular disease20.03NoYes
11Routine surveillance of ventricular function with known CAD and no change in clinical status or cardiac examination20.03YesYes
13Routine perioperative evaluation of ventricular function with no symptoms or signs of cardiovascular disease20.03YesYes
40Routine surveillance (<1 year) of moderate or severe valvular stenosis without a change in clinical status or cardiac examination20.03YesYes
38Routine surveillance (<3 years) of mild valvular stenosis without a change in clinical status or cardiac examination10.01YesYes