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Scooped by Seth Bilazarian, MD
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Choosing wisely for interventionalists: top 5

Choosing wisely for interventionalists:  top 5 | Heart and Vascular Health | Scoop.it

FFR, BMS, complete angiography, complete revascularization, radial approach: best patient care, save healthcare dollars.

 

Calling all interventionalists: What five practices would you highlight to promote best patient care and save healthcare dollars? Here are 5 ideas from my community practice perspectives:

1. Use FFR liberally for intermediate lesions but not for severe ones
2. Use bare-metal stents if there's any doubt about the patient's insurance status
3. Do complete angiography before intervention
4. Don't send patients home without complete revascularization
5. Take up the radial approach

 

What's on your list?

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Scooped by Seth Bilazarian, MD
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Check-up your heart health at the pharmacy - a presentation at EuroPrevent 2012 in Dublin

My Comment for patients:  Doctors have been the primary risk assessment source for most patients.  Some patients have an unwillingness to seek medical attention (fear?, cost?).  A pharamcy based strategy that would raise awareness in the community at low cost & low risk might be valuable, if it motivates patients to pursue life style changes and advice and recommendations for cardiovascular prevention.  In this Swedish study patients were evalated for risk by 5 parameters called SCORE:

1.  Life style questionaire

2. Blood pressure

3.  Total cholesterol

4.  Waist circumference

5.  Counseling

 

" roughly a third said they would increase exercise and/or eat healthier as a result", and  "positive" changes occurred even though customers had to pay $63 for the assessment

 

See also comment from MedPage Today http://www.medpagetoday.com/article.cfm?tbid=32527#.T6fC40RrAsk.twitter

 

 

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