ACEP E-QUAL 24: Appropriate Use Guidelines for Cardiovascular Imaging

Dr. Frank Peacock and Dr. Michael Kontos review the 2015 guidelines, published in the Journal of the American College of Cardiology regarding appropriate use of cardiovascular imaging.

Host: Dr. Jason Woods; Podcast Sound Engineer: Kellen Vu

www.acep.org/equal

PDF of slide deck: https://www.acep.org/globalassets/sites/acep/media/equal-documents/webinar_chestpainw3_policy_cvimaging.pdf

References

1. Rybicki FJ, Udelson JE, Peacock F et al. 2015 ACR/ACC/AHA/AATS/ACEP/ASNC/NASCI/ SAEM/SCCT/SCMR/SCPC/SNMMI/STR/STS Appropriate Utilization of Cardiovascular Imaging in Emergency Department Patients With Chest Pain. JACC. Feb 2016. 67;7. DOI: 10.1016/j.jacc.2015.09.011
2. Singer AJ, Than MP, Smith S et al. “Missed myocardial infarctions in ED patients prospectively categorized as low risk by established risk scores”. Am J Emerg Med. 2017 May;35(5):704-709. DOI: 10.1016/j.ajem.2017.01.003.
3. Poldevaart JM, Reitsma JB, Backus BE. “Effect of Using the HEART Score in Patients with Chest PAin in the Emergency Department: A Stepped-Wedge, Cluster Randomized Trial.” Ann Intern Med. 2017 May 16;166(10):689-697. doi: 10.7326/M16-1600
4. Than MP, Aldous SJ, Troughton RW et al. “Detectable High-Sensitivity Cardiac Troponin within the Population Reference Interval Conveys High 5-Year Cardiovascular Risk: An Observational Study.” Clin Chem. 2018 Jul;64(7):1044-1053. DOI: 10.1373/clinchem.2017.285700