Title: Abstract 12593: Comparison Between Appropriateness of Exercise EKG and Stress Myocardial Perfusion Imaging Based on 2013 Multimodality Appropriate Use Criteria
Abstract: Introduction: The American College of Cardiology recently published 2013 multimodality Appropriate Use Criteria (AUC) for the detection and risk assessment of stable Ischemic Heart Disease. The criteria present potential diagnostic tests for common indications using a side-by-side rating system. Exercise EKG is a commonly used non-invasive test with excellent negative predictive value for coronary artery disease. The 2013 multimodality AUC are the first to define appropriate use of exercise EKG. The objective of our study was to evaluate appropriateness of exercise EKG in patients who underwent Stress Myocardial Perfusion Imaging (MPI). Methods: A total of 403 patients who underwent stress MPI at our institute were included in the study. Each stress MPI was classified into Appropriate, May be Appropriate or Rarely Appropriate based on 2013 multimodality AUC. The exercise EKG AUC was then applied to the same cohort of patients. For patients who underwent Stress MPI for Rarely Appropriate indications, appro...
Publication Year: 2014
Publication Date: 2014-11-25
Language: en
Type: article
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