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Cardiac Stress Imaging Indications

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1. Examining the Public Provision and Funding of PET-CT Imaging for Non-cancer Indications

cardiology indications: o myocardial perfusion (when testing for myocardial viability or cardiac sarcoidosis) o cardiac sarcoidosis o cardiac tumours • Indicated in certain cases includes: o cardiology; § myocardial perfusion (e.g., suspected/confirmed coronary artery disease or when previous stress imaging test was inconclusive) § myocardial viability § cardiac devices and prosthetic valve infections § septic embolism § vascular graft infection § large vessel vasculitis o inflammatory (and infectious (...) referral information (e.g., referral wait times, referral forms and urgent referral processes) • PET-CT imaging for non-cancer indications are covered by the Alberta Health Care Insurance Plan Saskatchewan (7; 16-19) • Cardiology indications: o viability assessment o cardiac sarcoidosis • Neurology indications: o refractory seizure o dementia o other • Saskatchewan’s single PET-CT unit is located in a hospital (Royal University Hospital in Saskatoon) • PET-CTs require advance booking from a physician

2018 McMaster Health Forum

2. Bioresorbable Stents in cardiovascular indications (coronary artery disease)

in Europe. The overall costs for CAD (including direct healthcare costs, productivity losses and informal care costs) have been estimated at over €59 billion [11]. The diagnosis and assessment of stable CAD involves clinical evaluation, including identifying significant dyslipidaemia, hyperglycaemia, or other biochemical risk factors, and specific cardiac investigations, such as stress testing or coronary imaging. For suspected acute coronary syndromes (ACSs), initial assessment is based (...) or unstable CAD. CAD is a prevalent disease defined as the manifestation of arteriosclerosis in the coronary arteries and is the leading cause of death in Europe [6]. Risk factors for CAD that can be controlled are smoking, high alcohol consumption, lack of physical activity, high blood cholesterol levels, overweight or obe- sity, diabetes mellitus, hypertension and psychosocial burden, such as stress or depression [7-9]. Patients with CAD have an elevated risk for myocardial infarction (MI), cardiac

2019 EUnetHTA

3. Cardiac Stress Imaging Indications

Cardiac Stress Imaging Indications Cardiac Stress Imaging Indications Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cardiac Stress (...) Imaging Indications Cardiac Stress Imaging Indications Aka: Cardiac Stress Imaging Indications , Stress Imaging Indications , Stress EKG with Cardiac Imaging Indications , Stress Electrocardiogram with Imaging Indications II. Indications: Symptomatic Patients Intermediate to high risk for OR Known with prior revascularization OR High risk of false positive testing or uninterpretable EKG (see below) III. Indications: False positive likely on Exercise Stress Test Medication Use Type I Especially

2018 FP Notebook

4. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

writing effort. TABLE OF CONTENTS ABSTRACT - PREFACE - 1.INTRODUCTION - 2.METHODS - Indication Development - 3.GENERAL ASSUMPTIONS - 4.DEFINITIONS . - Table A. Stages of Valvular Heart Disease - Table B. Stages of Heart Failure - 5.ABBREVIATIONS - 6.MULTIMODALITY IMAGING IN NONVALVULAR HEART DISEASE: APPROPRIATE USE CRITERIA (BY INDICATION) - 6.1. Initial Evaluation of Cardiac Structure and Function . - Table 1. Initial Evaluation of an Asymptomatic Patient... - Table 2. Initial Evaluation (...) 8 (A) 6 (M) 1 (R) 1 (R) 1 (R) 3 (R) 1 (R) 1 (R) 8 (A) 8 (A) 1 (R) 1 (R) Continued on the next page JACC VOL. -,NO. -,2019 Doherty et al. -,2019:-–- AUC for Multimodality Imaging in Non–VHD 156.3. Evaluation of Cardiac Structure and Function in Patients Undergoing Transcatheter Intervention for Structural Heart Disease TABLE 5 Continued Indication TTE (With or Without 3D; With Contrast as Needed) TEE (With or Without 3D) Ex.-SE DSE Strain/Strain Rate Imaging by Speckle or Tissue Doppler F-18 FDG

2019 Heart Rhythm Society

5. Usefulness of dual imaging stress echocardiography for the diagnosis of coronary allograft vasculopathy in heart transplant recipients. (Abstract)

Usefulness of dual imaging stress echocardiography for the diagnosis of coronary allograft vasculopathy in heart transplant recipients. Coronary allograft vasculopathy (CAV) is the main factor limiting long-term survival after cardiac transplantation. Dual imaging stress echocardiography with wall motion and Doppler-derived coronary flow reserve (CRF) of the left anterior descending artery (LAD) is a state-of-the-art methodology during dipyridamole stress echocardiography (DiSE). This study (...) involving 74 heart transplanted patients has the purpose to assess the diagnostic value of dipyridamole stress echocardiography with evaluation of wall motion (WM) and Doppler-derived coronary flow reserve for the diagnosis of coronary allograft vasculopathy.All patients underwent DiSE and coronary angiography. Moderate-severe CAV was defined according to International Society of Heart and Lung Transplant (ISHLT) recommended nomenclature for CAV, and CFR < 2 was considered to be impaired. Moderate

2019 International journal of cardiology

6. QAngio XA 3D/QFR imaging software for assessing coronary obstructions

cardiologist, Trent Cardiac Centre, Nottingham University Hospitals NHS Trust. Has received honorarium for participation in an advisory board for Creavo Medical T echnology, which is developing a technology to investigate acute chest pain of suspected cardiac origin. Dr Jaydeep Sarma, Consultant interventional cardiologist, Manchester University NHS Foundation Trust. Did not declare any interests. QAngio XA 3D/QFR imaging software for assessing coronary obstructions (MIB146) © NICE 2018. All rights (...) QAngio XA 3D/QFR imaging software for assessing coronary obstructions Q QAngio XA 3D Angio XA 3D/QFR imaging software for /QFR imaging software for assessing coronary obstructions assessing coronary obstructions Medtech innovation briefing Published: 15 May 2018 nice.org.uk/guidance/mib146 pathways Summary Summary The technology technology described in this briefing is the QAngio XA 3D/QFR imaging software. It is used to assess fractional flow reserve (FFR) non-invasively. The inno innovativ

2018 National Institute for Health and Clinical Excellence - Advice

7. Somatom Definition Edge CT scanner for imaging coronary artery disease in adults in whom imaging is difficult

% and that people in this category should be offered calcium scoring (a measure of atherosclerotic plaque burden), followed by CTCA if the calcium score is between 1 and 400. CTCA, therefore, would be used to rule out a diagnosis of CAD, rather than to confirm it (British Heart Foundation 2015). A calcium score above 400 indicates that imaging using earlier generation CT scanners would be difficult, and the guideline recommended invasive coronary angiography (ICA), the gold standard for evaluating coronary (...) pain pathway include invasive coronary angiography (ICA), magnetic resonance imaging (MRI), single photon computed emission tomography (SPECT) and stress echocardiography (ECHO). The ICA procedure has a unit cost of £1,241 (NHS 2014/15 National tariff payment system, code EA36A). An outpatient cardiac MRI scan inclusive of contrast medium costs £527 (Department of Health 2014, code RA66Z). The unit cost for SPECT is £220 (NHS 2014/15 National tariff payment system, code RA37Z). The unit cost

2016 National Institute for Health and Clinical Excellence - Advice

8. Aquilion PRIME CT scanner for imaging coronary artery disease in adults in whom imaging is difficult

, would rule out a diagnosis of CAD, rather than confirm it (British Heart Foundation 2015). A calcium score above 400 indicates that imaging using earlier generation CT scanners would be difficult, and the guideline recommended invasive coronary angiography (ICA), the gold standard for evaluating coronary anatomy in these cases, if this was considered clinically appropriate. NICE diagnostics guidance on new generation cardiac CT scanners also recommends CTCA as an option for first-line evaluation (...) , code RA68Z). Training to use the Aquilion PRIME system is provided free of charge by the manufacturer. Other diagnostic procedures used in the chest pain pathway include invasive coronary angiography (ICA), magnetic resonance imaging (MRI), single photon computed emission tomography (SPECT) and stress echocardiography (ECHO). The ICA procedure has a unit cost of £1,241 (NHS 2014/15 National tariff payment system, code EA36A). An outpatient cardiac MRI scan inclusive of contrast medium costs £527

2016 National Institute for Health and Clinical Excellence - Advice

9. Cardiac Screening With Electrocardiography, Stress Echocardiography, or Myocardial Perfusion Imaging: Advice for High-Value Care From the American College of Physicians

. Chou. Final approval of the article: R. Chou. Collection and assembly of data: R. Chou. Abstract Background: Cardiac screening in adults with resting or stress electrocardiography, stress echocardiography, or myocardial perfusion imaging can reveal findings associated with increased risk for coronary heart disease events, but inappropriate cardiac testing of low-risk adults has been identified as an important area of overuse by several professional societies. Methods: Narrative review based (...) ; Darilyn V. Moyer, MD; Kelley M. Skeff, MD, PhD; Thomas G. Tape, MD; and Jeffrey Wiese, MD. Approved by the ACP Board of Regents on 26 July 2014. Figure. Summary of the American College of Physicians advice for high-value care on cardiac screening with electrocardiography, stress echocardiography, or myocardial perfusion imaging. Table 1. Estimated Costs of Cardiac Screening Tests Table 1. Estimated Costs of Cardiac Screening Tests Table 2. Estimated 10-y Probability of Coronary Heart Disease Based

2015 American College of Physicians

10. AIM Clinical Appropriateness Guidelines for Advanced Imaging of the Heart.

2019. AIM Specialty Health. All Rights Reserved. 2 Table of Contents Description and Application of the Guidelines 3 Administrative Guidelines 4 Ordering of Multiple Studies 4 Pre-test Requirements 5 Cardiac Imaging 6 Myocardial Perfusion Imaging 6 Cardiac Blood Pool Imaging 12 Infarct Imaging 15 Stress Echocardiography (SE) 16 Transesophageal Echocardiography (TEE) 23 Resting Transthoracic Echocardiography (TTE) 25 Cardiac CT - Quantitative Evaluation of Coronary Calcification 33 CT Cardiac (...) 2019. AIM Specialty Health. All Rights Reserved. 7 Imaging Considerations Myocardial Perfusion Imaging and Stress Echocardiography may provide useful information on Coronary Heart Disease. Comparison data on Sensitivity and Specificity are provided in Table 2 below. Due to regional variation in technical expertise and interpretive proficiency, the clinician should use the diagnostic imaging modality that has been proven most accurate in his/her practices. Table 2: Comparison of Non-Invasive

2019 AIM Specialty Health

11. Adenosine triphosphate (ATP) and adenosine cause similar vasodilator effect in patients undergoing stress perfusion cardiac magnetic resonance imaging. (Abstract)

Adenosine triphosphate (ATP) and adenosine cause similar vasodilator effect in patients undergoing stress perfusion cardiac magnetic resonance imaging. To evaluate the vasodilator effect of adenosine triphosphate (ATP) compared with adenosine in stress perfusion cardiac magnetic resonance (CMR) examinations. A total of thirty-three patients underwent clinically indicated stress/rest perfusion CMR examination following intravenous injection of a total dose of 0.2 mmol/kg of gadobutrol (...) . Individuals were randomly assigned to ATP (160 mcg/kg/min) or adenosine (140 mcg/kg/min). The vasodilator effect of both drugs was analyzed by comparing differences in heart rate, symptoms during stress, and semiquantitative myocardial and splenic perfusion parameters, including time, time to peak, upslope, myocardial perfusion reserve index, tissue perfusion values, splenic and myocardial signal intensity ratios, and splenic-to-myocardial signal intensity ratios. No significant difference was found

2018 The international journal of cardiovascular imaging Controlled trial quality: uncertain

12. Prognostic value of dual imaging stress echocardiography following coronary bypass surgery. (Abstract)

Prognostic value of dual imaging stress echocardiography following coronary bypass surgery. To assess the prognostic value of dual imaging stress echocardiography after coronary artery bypass grafting (CABG). Dual imaging stress echocardiography, combining the evaluation of regional wall motion and Doppler echocardiographic derived coronary flow velocity reserve (CFVR) of the left anterior descending artery (LAD), is the state-of-the-art methodology during vasodilatory stress.In a prospective (...) events as compared to those with CFVR >2 (7.5 vs 2.9%; p = 0.002).Dual imaging stress echocardiography provides useful prognostic information following CABG. Inducible ischemia and abnormal CFVR are strong and independent prognostic indicators in patients with appropriate and rarely/maybe appropriate indications.Copyright © 2018. Published by Elsevier B.V.

2018 International journal of cardiology

13. Transdermal Optical Imaging Reveal Basal Stress via Heart Rate Variability Analysis: A Novel Methodology Comparable to Electrocardiography Full Text available with Trip Pro

Transdermal Optical Imaging Reveal Basal Stress via Heart Rate Variability Analysis: A Novel Methodology Comparable to Electrocardiography The present study examined the validity of a novel physiological measurement technology called transdermal optical imaging (TOI) technology at assessing basal stress. This technology conveniently, contactlessly, and remotely measures facial blood flow changes using a conventional digital video camera. We compared data from TOI against the pulse data (...) collected from the FDA approved BIOPAC system. One hundred thirty-six healthy adults participated in the study. We found that TOI measurements of heart rate and heart rate variability (HRV), which reflects basal stress, corresponded strongly to those obtained from BIOPAC. These findings indicate that TOI technology is a viable method to monitor heart rate and HRV not only accurately but also conveniently, contactlessly, and remotely. Further, measures of HRV obtained via TOI serves as a valid index

2018 Frontiers in psychology

14. AIM Clinical Appropriateness Guidelines for Advanced Imaging of the Heart

artery disease in asymptomatic patients ? Patients awaiting solid organ transplantation who have not undergone evaluation for coronary artery disease within the preceding one (1) yearMyocardial Perfusion Imaging (MPI) | Copyright © 2018. AIM Specialty Health. All Rights Reserved. 9 Common Diagnostic Indications Established coronary artery disease (diagnosed by previous cardiac catheterization, MPI, cardiac PET, or stress echo) in patients who have new or worsening symptoms Note: If symptoms (...) Intermediate Low Very Low Very Low 50-59 Men High Intermediate Intermediate Low Women Intermediate Intermediate Low Very Low 60-69 Men High Intermediate Intermediate Low Women High Intermediate Intermediate Low Cardiac Echocardiography Stress Echocardiography (SE)Stress Echocardiography (SE) | Copyright © 2018. AIM Specialty Health. All Rights Reserved. 17 Imaging Considerations Myocardial Perfusion Imaging and Stress Echocardiography may provide useful information on Coronary Heart Disease. Comparison

2018 AIM Specialty Health

15. Cost-effectiveness of coronary computed tomography and cardiac stress imaging in the emergency department: a decision analytic model comparing diagnostic strategies for chest pain in patients at low risk of acute coronary syndromes Full Text available with Trip Pro

Cost-effectiveness of coronary computed tomography and cardiac stress imaging in the emergency department: a decision analytic model comparing diagnostic strategies for chest pain in patients at low risk of acute coronary syndromes Cost-effectiveness of coronary computed tomography and cardiac stress imaging in the emergency department: a decision analytic model comparing diagnostic strategies for chest pain in patients at low risk of acute coronary syndromes Cost-effectiveness of coronary (...) computed tomography and cardiac stress imaging in the emergency department: a decision analytic model comparing diagnostic strategies for chest pain in patients at low risk of acute coronary syndromes Priest VL, Scuffham PA, Hachamovitch R, Marwick TH Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment

2011 NHS Economic Evaluation Database.

16. The Vienna consensus: report of an expert meeting on the development of art laboratory performance indicators Full Text available with Trip Pro

expression studies of follicular cells and oxygen uptake assessments ( ; ). Other markers, such as assessment of oocyte morphology, spindle imaging, and polar body (PB) biopsy, can be incorporated into clinical service, but this is not a universal approach ( ; ; ). When the results of the Alpha and ESHRE surveys were combined, respondents identified oocyte recovery rate and oocyte maturity rate as the most important indicators for oocytes. Although, strictly speaking, they do not provide an indication (...) for operator competence, oocyte quality, and laboratory performance. The damage rate can also be indicative of technical problems (e.g. cumulus cell removal stress, vibration). Alternatively, the term ICSI oocyte survival rate can be used. Poor fertilization rate is defined as the proportion of cycles in which <25% of the injected oocytes are fertilized. The responses from the survey are much divided, ranging from 5 to 20% for the competence and from 0 to 15% for the benchmark value. Poor fertilization

2018 European Society of Human Reproduction and Embryology

17. Neural Indications of Stress-Induced Mental Overload

. However, it is still unclear why different individuals deal with cognitive workload under stress differently, and which brain mechanisms are underlying these processes. In this current research the use of non invasive imaging techniques, such as EEG and fMRI, in addition to physiological measurements, such as heart rate, skin conductance, and eye movements, will allow an objective characterization of the individual's response to cognitive workload under stress. Study Design Go to Layout table (...) Neural Indications of Stress-Induced Mental Overload Neural Indications of Stress-Induced Mental Overload - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Neural Indications of Stress-Induced Mental Overload

2018 Clinical Trials

18. Diastolic Stress Echocardiography to Quantify the Response of Diastolic Functional Indices to Dynamic Exercise in Abnormal Relaxation: Unmasking Diastolic Abnormalities is Getting Ready for Prime Time Full Text available with Trip Pro

Diastolic Stress Echocardiography to Quantify the Response of Diastolic Functional Indices to Dynamic Exercise in Abnormal Relaxation: Unmasking Diastolic Abnormalities is Getting Ready for Prime Time 30073815 2018 11 14 1738-5520 48 8 2018 08 Korean circulation journal Korean Circ J Diastolic Stress Echocardiography to Quantify the Response of Diastolic Functional Indices to Dynamic Exercise in Abnormal Relaxation: Unmasking Diastolic Abnormalities is Getting Ready for Prime Time. 755-759 (...) ):316-26 769626 J Am Soc Echocardiogr. 2006 Nov;19(11):1314-9 17098132 Eur Heart J Cardiovasc Imaging. 2018 Jan 1;19(1):12-19 29161381 J Am Coll Cardiol. 2006 May 2;47(9):1891-900 16682317 J Am Soc Echocardiogr. 2017 Feb;30(2):101-138 28164802 J Am Soc Echocardiogr. 2005 Jan;18(1):63-8 15637491 J Am Coll Cardiol. 1991 Apr;17(5):1065-72 2007704 Eur Heart J Cardiovasc Imaging. 2018 Jan 1;19(1):20-22 29161382 Heart. 2009 Mar;95(6):490-4 18653569 Am J Cardiol. 1976 Nov 4;38(5):645-53 136186 Eur Heart J

2018 Korean circulation journal

19. What is the evidence on the methods, frameworks and indicators used to evaluate health literacy policies, programmes and interventions at the regional, national and organizational levels?

What is the evidence on the methods, frameworks and indicators used to evaluate health literacy policies, programmes and interventions at the regional, national and organizational levels? Gillian Rowlands | Anita Trezona | Siân Russell | Maria Lopatina | Jürgen Pelikan | Michael Paasche-Orlow | Oxana Drapkina | Anna Kontsevaya | Kristine Sørensen WHO HEALTH EVIDENCE NETWORK SYNTHESIS REPORT 65 What is the evidence on the methods, frameworks and indicators used to evaluate health literacy (...) Diseases.WHO Health Evidence Network synthesis report 65 What is the evidence on the methods, frameworks and indicators used to evaluate health literacy policies, programmes and interventions at the regional, national and organizational levels? Gillian Rowlands | Anita Trezona | Siân Russell | Maria Lopatina | Jürgen Pelikan | Michael Paasche-Orlow | Oxana Drapkina | Anna Kontsevaya | Kristine SørensenAbstract Although health literacy has long been a focus of attention in the WHO European Region, survey

2019 WHO Health Evidence Network

20. Robot-assisted surgery in thoracic and visceral indications

Robot-assisted surgery in thoracic and visceral indications Dec2015 © EUnetHTA, 2015. Reproduction is authorised provided EUnetHTA is explicitly acknowledged 1 EUnetHTA Joint Action 3 WP4 Version 1.4, 06.05.2019 This report is part of the project/joint action ‘724130/EUnetHTA JA3’ which has received funding from the European Union’s Health Programme (2014-2020) Rapid assessment of other technologies using the HTA Core Model ® for Rapid Relative Effectiveness Assessment ROBOT-ASSISTED SURGERY (...) IN THORACIC AND VISCERAL INDICATIONS Project ID: OTCA14 Robot-assisted surgery for thoracic and visceral surgery Version 1.4, 06.05.2019 EUnetHTA Joint Action 3 WP4 2 DOCUMENT HISTORY AND CONTRIBUTORS Version Date Description V1.0 31.01.19 First draft. V1.1 27.02.19 Input from co-author has been processed. V1.2 29.03.19 Input from dedicated reviewers has been processed. V1.3 30.04.19 Input from external experts and manufacturer(s) has been processed. V1.4 06.05.19 Input from medical editing has been

2019 EUnetHTA

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