07.07.2011, 07:42
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Рентгенохирург
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Регистрация: 20.02.2007
Город: Москва
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Цитата:
Most Acute PCIs Justified, But Nonacute Procedures Called into Question...
July 6, 2011, issue of the Journal of the American Medical Association....
Half of nonacute PCIs were classified as appropriate (50.4%). But over a third (38.0%) were deemed uncertain and the rest (11.9%) inappropriate. Reasons for the ‘inappropriate’ designation included:
No angina (53.8%)
Low-risk ischemia on noninvasive stress testing (71.6%)
Suboptimal (≤ 1 medication) antianginal therapy (95.8%)...
“Although some of the inappropriate procedures may be explained by extenuating circumstances (eg, high-risk coronary anatomical findings not captured in the appropriate use criteria), these factors are expected to be uncommon. . . . It is also possible that patient preferences may influence physician decisions about coronary revascularization,” the investigators comment, but add that clinician own misperceptions of risk/benefit are largely responsible for the current findings.
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Абугов Сергей Александрович.
Российский Научный Центр Хирургии им. академика Б.В. Петровского.
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