The new statement also provides guidance for training professionals who order or administer
cardiac imaging tests.
Not exact matches
An analysis of diagnostic
test results from the Prospective Multicenter
Imaging Study for Evaluation of Chest Pain (PROMISE) trial — in which patients with stable chest pain were randomized to either anatomic or functional
testing as an initial diagnostic strategy — showed that the presence and extent of coronary artery disease detected by CT angiography better predicted the risk for future
cardiac events than did measures of exercise tolerance or restricted blood flow to the heart muscle.
Cardiac stress
testing, particularly with
imaging, has been the focus of debate about rising health care costs, inappropriate use, and patient safety in the context of radiation exposure.
«More efforts, such as clinical decision support, are needed to reduce unnecessary
cardiac stress
testing,» Dr. Ladapo concludes, suggesting greater use of stress
testing without radiological
imaging, such as regular exercise treadmill
tests or stress
testing with ultrasound
imaging as opposed to CT
imaging.
In a new study recently published in the Annals of Internal Medicine, researchers at NYU Langone Medical Center concluded that overuse of
cardiac stress
testing with
imaging has led to rising healthcare costs and unnecessary radiation exposure to patients.
They also made national estimates of the cost of unnecessary
cardiac stress
testing with
imaging and the health burden of this
testing, in terms of cancer risk due to radiation exposure.
The authors also concluded that there was no evidence of a lower likelihood of black patients receiving a
cardiac stress
test with
imaging (odds ratio, 0.91 [95 % CI, 0.69 to 1.21]-RRB- than their white counterparts — although some modest evidence of disparity in Hispanic patients was found (odds ratio, 0.75 [CI, 0.55 to 1.02]-RRB-.
In what is believed to be the first comprehensive examination of trends in
cardiac stress
testing utilizing
imaging, researchers also showed that there are no significant racial or ethnic health disparities in its use.
Using noninvasive
cardiac magnetic resonance
imaging techniques, they were able to confirm the presence of myocardial inflammation in a patient who
tested positive for
cardiac myosin autoantibodies.
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