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Effective Risk Stratification of Patients on the Basis of Myocardial Perfusion SPECT Is Dependent on Appropriate Patient Selection.
MedLine Citation:
PMID:  25418932     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Myocardial perfusion imaging (MPI) with single-photon emission computed tomography (SPECT) is commonly used in risk assessment, as an abnormal scan predicts a multifold increase in cardiac risk. Recent studies have showed that application of the appropriate use criteria (AUC) sharpens the prognostic value of SPECT-MPI, while inappropriate use is clinically ineffective and may lead to unnecessary downstream invasive testing and revascularization procedures. In this review, we will discuss recent literature examining the impact of appropriate use on the prognostic value of SPECT-MPI and downstream decision-making. We will also discuss the implications of appropriate use on cost-effectiveness of MPI.
Authors:
Sarah Alexander; Rami Doukky
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current cardiology reports     Volume:  17     ISSN:  1534-3170     ISO Abbreviation:  Curr Cardiol Rep     Publication Date:  2015 Jan 
Date Detail:
Created Date:  2014-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888969     Medline TA:  Curr Cardiol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  549     Citation Subset:  IM    
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