Presentation is loading. Please wait.

Presentation is loading. Please wait.

ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS 2012 appropriate use criteria for diagnostic catheterization  Manesh R. Patel, MD, FACC, Steven.

Similar presentations


Presentation on theme: "ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS 2012 appropriate use criteria for diagnostic catheterization  Manesh R. Patel, MD, FACC, Steven."— Presentation transcript:

1 ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS appropriate use criteria for diagnostic catheterization  Manesh R. Patel, MD, FACC, Steven R. Bailey, MD, FACC, FSCAI, FAHA, Robert O. Bonow, MD, MACC, MACP, FAHA, Charles E. Chambers, MD, FACC, FSCAI, Paul S. Chan, MD, MSc, Gregory J. Dehmer, MD, FACC, FSCAI, FACP, FAHA, Ajay J. Kirtane, MD, SM, FACC, FSCAI, L. Samuel Wann, MD, MACC, R. Parker Ward, MD, FACC, FASE, FASNC  The Journal of Thoracic and Cardiovascular Surgery  Volume 144, Issue 1, Pages (July 2012) DOI: /j.jtcvs Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions

2 Figure 1 Suspected CAD: No prior noninvasive stress imaging. A, Appropriate; CAD, coronary artery disease; I, inappropriate; U, uncertain. The Journal of Thoracic and Cardiovascular Surgery  , 39-71DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions

3 Figure 2 Suspected CAD: Prior noninvasive stress testing. Indications 22 to 27 not covered in figure. CAD, Coronary artery disease; ECG, electrocardiography. The Journal of Thoracic and Cardiovascular Surgery  , 39-71DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions

4 Figure 3 Suspected CAD: Prior noninvasive cardiac CT (calcium score and CTA). ∗Coronary calcium score only rated for asymptomatic patients as these patients are the population in which it is used. CT, Computed tomography; CTA, computed tomography angiography. The Journal of Thoracic and Cardiovascular Surgery  , 39-71DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions

5 Figure 4 Patients with known obstructive CAD. CAD, Coronary artery disease; PCI, percutaneous coronary intervention. The Journal of Thoracic and Cardiovascular Surgery  , 39-71DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions

6 Figure 5 Evaluation of arrhythmias. Indication 63 for newly diagnosed LBBB is not represented in this figure and was rated as “uncertain.” CHD, Coronary heart disease; LBBB, left bundle branch block; LV, left ventricular; NI, noninvasive; VF, ventricular fibrillation; VT, ventricular tachycardia. The Journal of Thoracic and Cardiovascular Surgery  , 39-71DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions

7 Figure 6 Preoperative coronary evaluation: Patients with no prior noninvasive stress testing. METS, Metabolic equivalents. The Journal of Thoracic and Cardiovascular Surgery  , 39-71DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions

8 Figure 7 Evaluation of valvular disease. Preoperative assessment before valvular surgery is not represented in this figure and is rated “appropriate.” ∗Indication 90 for acute moderate or severe mitral or aortic regurgitation is not represented in this figure. Rating for concordant imaging is “uncertain” and conflicting imaging is “appropriate.” NI, Noninvasive. The Journal of Thoracic and Cardiovascular Surgery  , 39-71DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions

9 Figure A Stepwise approach to perioperative cardiac assessment. Cardiac evaluation and care algorithm for noncardiac surgery based on active clinical conditions, known cardiovascular disease, or cardiac risk factors for patients ≥50 years of age. HR, Heart rate; LOE, level of evidence; MET, metabolic equivalent. Modified from Fleisher et al.22 The Journal of Thoracic and Cardiovascular Surgery  , 39-71DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery and the American College of Cardiology Foundation Terms and Conditions


Download ppt "ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/STS 2012 appropriate use criteria for diagnostic catheterization  Manesh R. Patel, MD, FACC, Steven."

Similar presentations


Ads by Google