For an interventional cardiologist , it is often considered a crime to follow a conservative approach !
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October 11, 2008 2:37 pm
For an interventional cardiologist , it is often considered a crime to follow a conservative approach !
*Caution : This one line guideline is not based on scientific fact but reality based . Ideally one should identify high risk subsets among the patients who had an AMI .Patients who had complications during the MI get immediate CAG. Others need a focused LV function asessment , pre discharge sub maximal excercise stress test or perfusion studies .But this concept has been virtually replaced by pre discharge coronary angiogram for all , in many of the centres in the world.
Posted by dr s venkatesan
Categories: Cardiology -Interventional -PCI, cardiology- coronary care, Infrequently asked questions in cardiology (iFAQs)
Tags: acc.aha, acc/aha guidelines for stemi, acute myocardial infarction, cath lab, conservative approach, coronary angiogram, drsvenkatesan, ethics, evidence based cardiology, excercise stress test, guidelines, interventional cardiologist, jacc, jama, lancet, nejm, nstemi, nuclear imaging, pci, pre discharge stress testing, pre discharge tmt, ptca, sestamibi, stemi, stent, streptokinase, sub maximal, thallium, thrombolysis
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