Abstract:
:The American College of Cardiology Foundation (ACCF) and the American Society of Echocardiography (ASE) together with key specialty and subspecialty societies, conducted an appropriateness review for stress echocardiography. The review assessed the risks and benefits of stress echocardiography for several indications or clinical scenarios and scored them on a scale of 1 to 9 (based upon methodology developed by the ACCF to assess imaging appropriateness). The upper range (7 to 9) implies that the test is generally acceptable and is a reasonable approach, and the lower range (1 to 3) implies that the test is generally not acceptable and is not a reasonable approach. The midrange (4 to 6) indicates a clinical scenario for which the indication for a stress echocardiogram is uncertain. The indications for this review were drawn from common applications or anticipated uses, as well as from current clinical practice guidelines. Use of stress echocardiography for risk assessment in patients with coronary artery disease (CAD) was viewed favorably, while routine repeat testing and general screening in certain clinical scenarios were viewed less favorably. It is anticipated that these results will have a significant impact on physician decision making and performance, reimbursement policy, and will help guide future research.
journal_name
J Am Coll Cardioljournal_title
Journal of the American College of Cardiologyauthors
Douglas PS,Khandheria B,Stainback RF,Weissman NJ,Peterson ED,Hendel RC,Stainback RF,Blaivas M,Des Prez RD,Gillam LD,Golash T,Hiratzka LF,Kussmaul WG,Labovitz AJ,Lindenfeld J,Masoudi FA,Mayo PH,Porembka D,Spertus JA,doi
10.1016/j.jacc.2007.12.005subject
Has Abstractpub_date
2008-03-18 00:00:00pages
1127-47issue
11eissn
0735-1097issn
1558-3597pii
S0735-1097(07)03962-9journal_volume
51pub_type
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