Uso apropriado do Ecostress

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Applicability of Appropriateness Criteria for Stress Imaging

Similarities and Differences Between Stress Echocardiography and Single-Photon Emission Computed Tomography Myocardial Perfusion Imaging Criteria
Circulation: Cardiovascular Imaging. 2009;2:213-218
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O estudo acima, muito interessante, lista as causas mais frequentes de pedidos inadequados de Ecostress, responsáveis por mais de 90% do pedidos classificados como inapropriados.
Vendo a lista e comparando com os pedidos que chegam a nosso serviço de Ecostress, vejo que esse tipo de indicação equivocada é pouco frequente.
Veja a lista abaixo.
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Detection of CAD or risk assessment, asymptomatic, low CHD risk (Framingham))
Detection of CAD or risk assessment, asymptomatic, moderate CHD risk
Detection of CAD or risk assessment, symptomatic, low pretest probability of CAD, ECG interpretable and able to exercise
Preoperative evaluation, low-risk surgery, minor or intermediate clinical risk predictors
Preoperative evaluation, intermediate-risk surgery, poor exercise tolerance (4 METs), minor or no clinical risk predictors
Postrevascularization, asymptomatic, <5 years after CABG