ACR Appropriateness Criteria® Suspected and Known Heart Failure: 2024 Update

Authors

James Roberts, Research Author, St Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada.
Kate Hanneman, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada. Electronic address: kate.hanneman@uhn.ca.
Prabhakar Shantha Rajiah, Panel Chair, Mayo Clinic, Rochester, Minnesota.
Shawn Ahmad, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; American Society of Echocardiography.
Ryan Avery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Commission on Nuclear Medicine and Molecular Imaging.
William M. Brown, University of Alabama at Birmingham, Birmingham, Alabama, Primary care physician.
Ahmed H. El-Sherief, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Joe Y. Hsu, Kaiser Permanente, Los Angeles, California.
Veronica Lenge de Rosen, Baylor College of Medicine, Houston, Texas.
Fay Lin, Weill Cornell Medicine, New York, New York; Society of Cardiovascular Computed Tomography.
Gurusher Panjrath, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia; American College of Cardiology.
Rahul D. Renapurkar, Cleveland Clinic, Cleveland, Ohio.
James A. White, University of Calgary Cummings School of Medicine, Calgary, Alberta, Canada; Society for Cardiovascular Magnetic Resonance.
Michael A. Bolen, Specialty Chair, Cleveland Clinic, Cleveland, Ohio.

Document Type

Journal Article

Publication Date

5-1-2025

Journal

Journal of the American College of Radiology : JACR

Volume

22

Issue

5S

DOI

10.1016/j.jacr.2025.02.021

Keywords

AUC; Appropriateness Criteria; appropriate use criteria; cardiac imaging; cardiomyopathy; ejection fraction; heart failure (HF); pulmonary edema

Abstract

Heart failure (HF) is a prevalent and complex clinical syndrome with no single reference standard diagnostic test. Imaging has a supportive role in patients with suspected and known HF, including initial imaging assessment of an adult with suspected HF, but without history of HF, including evaluation of pulmonary edema and detection of left ventricular dysfunction (Variant 1). In adults with established diagnosis of HF but unknown etiology, imaging also has an important role in the assessment of the underlying disease process, including ischemic and nonischemic etiologies (Variant 2). In the course of continuing care for adult patients with an established diagnosis of HF without new symptoms, follow-up imaging is performed to assess for longitudinal changes in ventricular function, response to therapy and prognostication (Variant 3). The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

APA Citation

Roberts, James; Hanneman, Kate; Rajiah, Prabhakar Shantha; Ahmad, Shawn; Avery, Ryan; Brown, William M.; El-Sherief, Ahmed H.; Hsu, Joe Y.; de Rosen, Veronica Lenge; Lin, Fay; Panjrath, Gurusher; Renapurkar, Rahul D.; White, James A.; and Bolen, Michael A., "ACR Appropriateness Criteria® Suspected and Known Heart Failure: 2024 Update" (2025). GW Authored Works. Paper 7309.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/7309

Department

Medicine