Guidelines and standards for performance of a pediatric echocardiogram: a report from the Task Force of the Pediatric Council of the American Society of Echocardiography.

Echocardiography has become the primary imaging tool in the diagnosis and assessment of congenital and acquired heart disease in infants, children, and adolescents. Transthoracic echocardiography (TTE) is an ideal tool for cardiac assessment, as it is noninvasive, portable, and efficacious in providing detailed anatomic, hemodynamic, and physiologic information about the pediatric heart. Recommendations for standards in the performance of a routine 2-dimensional (2D) echocardiogram, 1 fetal echocardiogram, pediatric transesophageal echocardiogram, intraoperative transesophageal echocardiogram, and stress echocardiogram exist, as do guidelines for appropriate training in various echocardiographic disciplines. As part of the accreditation process for echocardiography laboratories, the Intersocietal Commission for the Accreditation of Echocardiography Laboratories has established basic performance standards for pediatric TTE, 13 but no other standards document exists for the performance of a pediatric TTE. The pediatric echocardiogram is a unique examination with features that distinguish it from other echocardiograms. There is a wide spectrum of anomalies encountered in patients with congenital heart disease. Certain views are of added importance