, Volume 19, Issue 3, pp 401-403
Date: 01 May 2012

Tests that may be overused or misused in cardiology: The Choosing Wisely ® campaign

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The American College of Cardiology (ACC) released a list of “Five Things Physicians and Patients Should Question” in cardiology as part of Choosing Wisely® which is an initiative of the American Board of Internal Medicine (ABIM) Foundation in partnership with Consumer Reports. These were among 45 common tests and procedures recommended by nine medical specialty boards that should be performed less often. Patients were urged by these boards to question these services if and when they are offered.

The American College of Cardiology’s list1 of five recommendations included four that were related to cardiac imaging, particularly, stress tests or advanced noninvasive imaging. The first was that stress tests or advanced noninvasive imaging should not be performed if there are no symptoms of heart disease or high-risk factors like diabetes or peripheral arterial disease are not present. The second stated that cardiac imaging tests, particularly stress tests, should not be given as part of a ro ...