We sought to determine the appropriate use of echocardiography for patients with suspected endocarditis.We constructed a decision tree and Markov model using published data to simulate the outcomes and costs of care for patients with suspected endocarditis.Transesophageal imaging was optimal for patients ...
901-54 Exercise Echocardiography is More Cost Efficient than Exercise ECG as an Initial Test for Evaluation of Cardiac Symptoms in WomenThe greater spec of ExE in women avoids inappropriate angiography. Use of ExE as an initial test for CAD in women is justifiable on cost grounds....
The prognoses of patients with false-negative test results by myocardial single photon emission computed tomography (SPECT) and by stress echocardiography are known to be different; the prognosis with false-negative SPECT is better in suspected and proven coronary artery disease (CAD).Three strategies...
The test result would be returned to the ordering physician within a few weeks, depending on the turnaround time of the genetic test. Each patient could receive either a positive or negative result. For genome-wide sequencing, positive results could include primary findings only, secondary ...
We evaluated clinical and economic outcomes of diagnostic strategies on the basis of pharmacologic stress echocardiography (PhSE) versus exercise electrocardiography test (EET) in 527 patients with chest pain (274 women; age 59 ± 10 years) who underwent both EET and PhSE. We investigated 3 strateg...
Paediatric echocardiography by telemedicine-nine years' experience In 1987 we established a realtime echocardiography service by telemedicine from the paediatric cardiology department of a tertiary-care hospital in Halifax. The service was initially provided to single regional hospital but was expanded ......
Reducing the cost of the diagnostic odyssey in early onset epileptic encephalopathies. BioMed Res Int. 2016;2016:6421039. Article Google Scholar Medical Advisory Secretariat. Use of contrast agents with echocardiography in patients with suboptimal echocardiography: an evidence-based analysis. Ont Health...
Screening for pulmonary arteriovenous malformations using transthoracic contrast echocardiography: a prospective study. Eur Respir J 2009;33:85–91. 16. Jackson L, Pyeritz RE. Molecular technologies open new clinical genetic vistas. Sci Transl Med 2011;3:65ps2. 17. Haddow JE, Palomaki GE. ...
This was the case when we assumed that the nondiagnostic test rate of dobutamine echocardiography was 9% (in contrast to 0% by myocardial SPECT and 18% by exercise echocardiography). Sensitivity analysis showed that the cost-effectiveness of dobutamine echocardiography followed by CAG was best only...
Cost-effectiveness of initial stress cardiovascular MR, stress SPECT or stress echocardiography as a gate-keeper test, compared with upfront invasive coronary angiography in the investigation and management of patients with stable chest pain: mid-term outcomes from the CECaT randomised controlled trial....