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  3. Consensus document on chronic coronary syndrome assessment and risk stratification in Portugal: A position paper statement from the [Portuguese Society of Cardiology's] Working Groups on Nuclear Cardiology, Magnetic Resonance and Cardiac Computed Tomography, Echocardiography, and Exercise Physiology and Cardiac Rehabilitation

Consensus document on chronic coronary syndrome assessment and risk stratification in Portugal: A position paper statement from the [Portuguese Society of Cardiology's] Working Groups on Nuclear Cardiology, Magnetic Resonance and Cardiac Computed Tomography, Echocardiography, and Exercise Physiology and Cardiac Rehabilitation

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Nuno Teodoro V. Reis Bettencourt Sousa

    Autor

  • Ricardo José Araújo Ladeiras Lopes

    Autor

Participantes de fora da FMUP

  • Mendes, L
  • Fontes, JP
  • Matos, P
  • Ferreira, C
  • Botelho, A
  • Carvalho, S
  • Durazzo, A
  • Faustino, A
  • Vasconcelos, M
  • Vieira, C
  • Correia, M
  • Ferreira, AM
  • Ferreira, N
  • Pires-Morais, G
  • Almeida, AG
  • Ferreira, MJV
  • Teixeira, M
  • GECNRMTC
  • GEE
  • GEFERC SPC

Unidades de investigação

Abstract

Despite constant medical evolution, the reimbursement policy of Portuguese National Health Service (NHS) for the study and risk stratification of coronary heart disease has remained unchanged for several decades. Lack of adjustment to contemporary clinical practice has long been evident. However, the recent publication of the European Guidelines for diagnosis and treatment of chronic coronary syndromes further highlighted this gap and the urgent need for a change. Prompted by these Guidelines, the Working Group on Nuclear Cardiology, Cardiac Magnetic Resonance and Cardiac CT, the Working Group on Echocardiography and the Working Group on Stress Pathophysiology and Cardiac Rehabilitation of the Portuguese Society of Cardiology, began a process of joint reflection on the current limitations and how these recommendations could be applied in Portugal. To this end, the authors suggest that the new imaging methods (stress echocardiogram, cardiac computed tomography and cardiac magnetic resonance), should be added to exercise treadmill stress test and myocardial perfusion scintigraphy in the available exam portfolio within the Portuguese NHS. This change would allow full adoption of European guidelines and a better use of tests, according to clinical context, availability and local specificities. The adoption of clinical guidance standards, based on these assumptions, would translate into a qualitative improvement in the management of these patients and would promote an effective use of the available resources, with potential health and financial gains. (C) 2020 Published by Elsevier Espana, S.L.U. on behalf of Sociedade Portuguesa de Cardiologia.

Dados da publicação

ISSN/ISSNe:
0870-2551, 2174-2030

Revista Portuguesa de Cardiologia  Sociedade Portuguesa De Cardiologia

Tipo:
Article
Páginas:
241-251
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 7

Citações Recebidas na Scopus: 8

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Keywords

  • Coronary Heart Disease; Risk assessment; Primary Health Care; Cardiovascular diagnostic techniques; Cardiac Imaging Techniques; Treadmill Test; Computed Tomography; Magnetic Resonance; Echocardiography; Myocardial scintigraphy; Positron Emission Tomography; Guidelines

Campos de estudo

Proyectos asociados

Left Ventricular Reverse Remodeling and Function by Strain Analysis in Aortic Stenosis

Investigador Principal: Nuno Teodoro V. Reis Bettencourt Sousa

Estudo Clínico Académico . 2020

Epicardial adipose Tissue, Coronary Artery Disease and Cardiac Remodeling in High-risk Patients: EPICHEART Study

Investigador Principal: Nuno Teodoro V. Reis Bettencourt Sousa

Estudo Clínico Académico . 2019

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