Document Detail

Outcomes issues regarding utilization of echocardiography in patients with known or suspected coronary artery disease.
MedLine Citation:
PMID:  8827645     Owner:  NLM     Status:  MEDLINE    
In this opinion paper, outcomes issues that should determine the utilization of echocardiography in patients with known or suspected coronary artery disease is discussed. The issues discussed are the level of training and competence in performing and interpreting echocardiographic studies, sensitivity and specificity of the test in various conditions, ability to deal with artifacts, the pretest probability of disease, incremental value of a test in context of what is already known about a patient, cost-benefit analysis, and whether risk stratification is justified when risk management is not possible. Concepts, rather than an exhaustive view of the literature, are discussed and areas that require further investigation are mentioned.
S Kaul
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  9     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:    1996 Jul-Aug
Date Detail:
Created Date:  1996-12-11     Completed Date:  1996-12-11     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  591-8     Citation Subset:  IM    
Cardiovascular Division, University of Virginia School of Medicine, Charlottesville 22908, USA.
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MeSH Terms
Clinical Competence
Coronary Disease / economics,  ultrasonography*
Cost-Benefit Analysis
Echocardiography* / economics
Risk Management
Sensitivity and Specificity
Grant Support

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