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Physician and Patient Directives

The guidelines for ordering medical exams should meet certain criteria. These are outlined below:
  1. Serial echocardiograms for surveillance after a finding of trace valvular regurgitation on an initial echocardiogram are not suggested.
  2. Repeat echocardiograms in stable, asymptomatic patients with a murmur/click, where previous exam revealed no significant pathology are not suggested.
  3. Avoid echocardiograms for preoperative/preoperative assessment of patients with no history or symptoms of heart disease.
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