Document ID: chunk:federal_register_of_legislation:F2025C00214:clause:1_55895:p3
Version: federal_register_of_legislation:F2025C00214
Segment Type: clause
Provision Reference: sch 1 cl 55895 (pt 3/4)
Character Range: 137614–140744

previously been identified on a computed tomography coronary angiography or invasive coronary angiography;
 (d) an assessment by a specialist or consultant physician indicates that the patient has potential non‑coronary artery disease, where a stress echocardiography study is likely to assist the diagnosis;
 (e) an assessment indicates that the patient has undue exertional dyspnoea of uncertain aetiology;
 (f) a pre‑operative assessment of the patient, who has a functional capacity of less than 4 metabolic equivalents, confirms that surgery is an intermediate to high risk, and the patient also has at least one of the following conditions:
 (i) ischaemic heart disease;
 (ii) previous myocardial infarction;
 (iii) heart failure;
 (iv) stroke;
 (v) transient ischaemic attack;
 (vi) renal dysfunction (serum creatinine greater than 170umol/L or 2 mg/dL or a creatinine clearance of less than 60 mL/min);
 (vii) diabetes mellitus requiring insulin therapy;
 (g) assessment is required before cardiac surgery or catheter‑based interventions to:
 (i) increase the cardiac output to assess the severity of aortic stenosis; or
 (ii) determine whether valve regurgitation worsens with exercise or correlates with functional capacity; or
 (iii) correlate functional capacity with the ischaemic threshold;
 (h) either silent myocardial ischaemia is suspected or, due to the patient's cognitive capacity or expressive language impairment, it is not possible to accurately assess symptom frequency based on medical history.

2.1.15  Stress echocardiograms—requirements

Safety requirements
 (1) A stress echocardiogram service must be performed:
 (a) on premises equipped with resuscitation equipment, including a defibrillator; and
 (b) by a person trained in the matters mentioned in subclause (4) and cardiopulmonary resuscitation who is in continuous personal attendance during the procedure.
 (2) At the time the service is performed, a second person trained in the matters mentioned in subclause (4) and cardiopulmonary resuscitation must be located at the premises, and must be immediately available to respond if required.
 (3) One of the persons mentioned in subclauses (1) and (2) must be a medical practitioner.
 (4) For the purposes of paragraph (1)(b) and subclause (2), the matters are:
 (a) how to safely perform exercise or pharmacological stress monitoring and recording; and
 (b) how to recognise the symptoms and signs of cardiac disease.

Other requirements
 (5) A stress echocardiogram service must include all of the following:
 (a) for an exercise stress echocardiogram:
 (i) two‑dimensional recordings before exercise (baseline) from at least 2 acoustic windows; and
 (ii) matching recordings at, or immediately after, peak exercise, including at least parasternal short and long axis views, and apical 4‑chamber and 2‑chamber views;
 (b) for a pharmacological stress echocardiogram:
 (i) two‑dimensional recordings before drug infusion (baseline) from at least 2 acoustic windows; and
 (ii) at least 2 matching recordings during drug infusion (with one recording at the time of the peak drug dose), including