Background: Syncope is characterized by a transient loss of consciousness, with vasovagal syncope being the most common cause. According to the American College of Cardiology (1), routine cardiac imaging, including transthoracic echocardiography (TTE), is not recommended in the evaluation of syncope unless there is a clinical suspicion of a cardiac cause, based on the patient’s [...]

Background: Transthoracic echocardiography (TTE) is a valuable diagnostic tool widely used for cardiac patients, but its accessibility and convenience have contributed to overuse. Although Appropriate Use Criteria (AUC) were developed to address this, inpatient TTE use continues to rise, with 5–8% annual increases. Studies reveal that while most TTEs meet AUC standards, fewer than one-third [...]