ACR Appropriateness Criteria® Asymptomatic Patient at Risk for Coronary Artery Disease: 2021 Update
| Autor: | Samuel Wann, Lynne M. Hurwitz Koweek, Joe Y. Hsu, Thomas V Johnson, Diana Litmanovich, Nandini M. Meyersohn, Suhny Abbara, Andrew M. Davis, Sandeep Hedgire, Gregory Kicska, Todd C. Villines, Mark G. Rabbat, Garth M. Beache, Seth Kligerman, Brian B. Ghoshhajra, Christopher D. Maroules, Richard K J Brown |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.disease Asymptomatic Appropriate Use Criteria 030218 nuclear medicine & medical imaging Coronary artery disease 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine Radiology Nuclear Medicine and imaging medicine.symptom Intensive care medicine business Grading (education) Coronary atherosclerosis Subclinical infection Medical literature |
| Zdroj: | Journal of the American College of Radiology. 18:S2-S12 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2021.01.003 |
| Popis: | Coronary atherosclerotic disease is a leading cause of mortality and morbidity due to major cardiovascular events in the United States and abroad. Risk stratification and early preventive measures can reduce major cardiovascular events given the long latent asymptomatic period. Imaging tests can detect subclinical coronary atherosclerosis and aid initiation of targeted preventative efforts based on patient risk. A summary of available imaging tests for low-, intermediate-, and high-risk asymptomatic patients is outlined in this document. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. |
| Databáze: | OpenAIRE |
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