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Appropriate Use Criteria for the Risk Assessment of Stable Ischemic Heart Disease Appropriate Use Criteria for the Risk Assessment of Stable Ischemic Heart Disease

Appropriate Use Criteria for the Risk Assessment of Stable Ischemic Heart Disease - PowerPoint Presentation

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Uploaded On 2018-12-08

Appropriate Use Criteria for the Risk Assessment of Stable Ischemic Heart Disease - PPT Presentation

Spectrum of Ischemic Heart Disease Management of SIHD Shared Clinical Decision Making ACP Interpretation of ACCFAHA SIHD Guidelines Key Diagnostic Questions Diagnosis Clinical Classification of Chest Pain ID: 738676

cont risk therapy medical risk cont medical therapy sihd aha accf abbreviations criteria management guideline references patients initial cardiac

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Presentation Transcript

Slide1

Appropriate Use Criteria for the Risk Assessment of Stable Ischemic Heart DiseaseSlide2

Spectrum of Ischemic Heart DiseaseSlide3

Management of SIHDShared Clinical Decision MakingSlide4

ACP Interpretation of ACCF/AHA SIHD GuidelinesKey Diagnostic QuestionsSlide5

DiagnosisClinical Classification of Chest PainSlide6

Chest Pain and Risk of CADSlide7

2012 ACCF/AHA Guideline Criteria Noninvasive Risk StratificationSlide8

2012 ACCF/AHA Guideline Criteria Noninvasive Risk Stratification (cont)Slide9
Slide10

Initial Cardiac Test for DiagnosisAble to Exercise*Slide11

Initial Cardiac Test for DiagnosisNot Able to Exercise*Slide12

Initial Cardiac Test for DiagnosisContraindications to Stress Testing*Slide13

Risk Assessment in Patients With Known SIHDSlide14

Risk Assessment in Patients With Known SIHDSlide15

ACP Interpretation of ACCF/AHA SIHD GuidelinesKey Management QuestionsSlide16

Goals of TherapySlide17

Strategies to Achieve Therapeutic GoalsSlide18

PCI vs Medical Therapy Findings From Studies, Systematic Reviews, Meta-analysesSlide19

COURAGE TrialOptimal Medical Therapy ± PCI for Stable Coronary Diseasea,bSlide20

COURAGE TrialAll-Cause Mortality/Non-Fatal MISlide21

Guideline-Directed Medical Therapyfor Patients With SIHDSlide22

Risk Factor ModificationSlide23

Lifestyle ModificationSlide24

Management Recommendations for Risk Factor Modification Slide25

Additional Medical Therapy toPrevent MI and DeathSlide26

Medical Therapy for Relief of SymptomsSlide27

ConclusionsSlide28

Conclusions (cont)Slide29

AbbreviationsSlide30

Abbreviations (cont)Slide31

Abbreviations (cont)Slide32

ReferencesSlide33

References (cont)Slide34

References (cont)