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Angiography Costs - Articles

Chest Pain (Part 3 of 3): Coronary CT Angiography in the ED by Michelle Lin Medical Doctor Posted Thu 11 Apr 2013 12:00am It is well known that taking a good history and physical, getting a non-ischemic EKG, and serial cardiac biomarkers, results in a risk of death/AMI of <5% in 30 days. Patients, in whom you still suspect have CAD, should undergo provocative testing within the next 72 hours based on the AHA/ACC guidelines. Their guidelin ... Read on »
CT Angiography, Dr. Nissen and Conflicts of Interest by Dr. Matthew M. Medical Doctor Posted Tue 23 Dec 2008 12:48pm For the record, I am not in favor of CT angiography, primarily due to the large doses of radiation. EBCT ( Heartscans ) have yet to be proven, but seem a much better technology. Last week the Wall Street Journal (via KevinMD ) reported on a study in the Journal of the American College of Cardiology looking at the diagnositic accuracy of this tes ... Read on »
MIA 2012: Hoffmann U et al. Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med. 2012 Jul 26;36 by Michelle Lin Medical Doctor Posted Tue 01 Jan 2013 4:19pm Bottom Line ROMICAT-II study: Coronary CT angiography (CCTA) is a safe and faster diagnostic strategy than the standard evaluation of low-to-intermediate risk chest pain patients.  CCTA, however, results in higher radiation exposure and more downstream testing.  Why It’s Important for Emergency Medicine: While th ... Read on »
CT scans and radiation exposure by Dr. William D. Medical Doctor Posted Tue 26 Aug 2008 4:17pm 2 Comments The NY Times ran an article called With Rise in Radiation Exposure, Experts Urge Caution on Tests at http://www.nytimes.com/2007/06/19/health/19cons.html?_r=1&adxnnl=1&oref=slogin&a “This is an absolutely sentinel event, a wake-up call,” said Dr. Fred A. Mettler Jr., principal investigator fo ... Read on »
Do heart scans cause cancer? by Dr. William D. Medical Doctor Posted Mon 13 Jul 2009 10:10pm Another in a series of data extrapolations that attempt to predict long-term cancer risk from medical radiation exposure was published in the July 13, 2009 Archives of Internal Medicine, viewable here. Over the years, I've fussed about the radiation dose used by some centers for CT heart scans. (Note: I'm talking about CT heart scans, not CT c ... Read on »
CATT Study Update 8: The Story Behind The CATT Study by Irv Arons Healthy Living Professional Posted Fri 10 Oct 2008 2:07pm As any of you who have read this Journal know, I began writing about Avastin on January 31, 2006, after starting this online Journal the month before. I had read the first reports about this new drug in a report from the Retina Society Meeting held in July 2005, and then the first reports out of that year’s AAO Meeting. You can read my comments i ... Read on »
Cardiac Bypass, Angioplasty and Stenting by Jeffrey Dach MD by Jeffrey Dach MD Medical Doctor Posted Wed 14 Jan 2009 5:49pm Cardiac Bypass, Angioplasty and Stenting by Jeffrey Dach MD No Reduction in Mortality or Heart Attacks    The following thirty nine medical studies compare invasive treatment with conservative treatment of coronary artery disease.  Invasive treatment with bypass surgery, stent or angioplasty ... Read on »
Meaningful Use Criteria by Rich Elmore Patient Expert Posted Sat 02 Jan 2010 9:10pm The Hitech Act provided for incentives to eligible professionals (EP) and hospitals that have adopted Certified EHR Technology and can demonstrate that they are meaningful users of the technology. HHS has published the proposed rule governing the criteria for me aningful use . The criteria for meaningful use will be finalized in 2010, foll ... Read on »
A victory for SHAPE, CT heart scans, and doing what is RIGHT by Dr. William D. Medical Doctor Posted Wed 24 Jun 2009 11:45am The efforts of Texas House of Representatives Rep. Rene Oliveira and the SHAPE Guidelines committee have paid off: The Texas legislature passed a bill that requires health insurers to cover CT heart scans. (NOTE: Don't make the same mistake that the media often makes and confuse CT heart scans with CT coronary angiography: two different tests, ... Read on »
Medical programmers are just as bad as the doctors. by Dr. J. Deane W. Medical DoctorHealth Maven Posted Tue 03 Nov 2009 10:01pm Programmers of medical information technologies (IT) seemed to have learned from the Renaissance Guild Masters. In at least one way, they are just as bad as doctors. For centuries, doctors have been accused of maintaining their power by keeping their arcane knowledge close to the vest and not sharing. To some extent, the charge is true. Ev ... Read on »