January 5, 2010CirculationOpen Access

Adherence of Catheterization Laboratory Cardiologists to American College of Cardiology/American Heart Association Guidelines for Percutaneous Coronary Interventions and Coronary Artery Bypass Graft Surgery

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Why the study?

Does the treatment recommended by catheterization laboratory cardiologists align with ACC/AHA guidelines for PCI and CABG in patients with coronary artery disease?

Population

10,333 patients with coronary artery disease undergoing catheterization with asymptomatic/mild angina…

Comparison

Treatment recommendation by catheterization… vs Indications based on American College of…

Design

Cohort

Authors

EHEdward L. HannanInterventional Cardiology MRMichael RaczAlbany College of Pharmacy and Health Sciences JGJeffrey P. GoldPediatric / Congenital Cardiology

Discussion

Member takes

Implication

Cardiologists' recommendations often favor PCI over guideline-indicated CABG; this observational finding leaves open reasons for deviation and outcome impact.

Structured PICO

Does the treatment recommended by catheterization laboratory cardiologists align with ACC/AHA guidelines for PCI and CABG in patients with coronary artery disease?

Population

10,333 patients with coronary artery disease undergoing catheterization with asymptomatic/mild angina, stable angina, and unstable angina/non-ST-elevation myocardial infarction, for whom the catheterization laboratory cardiologist was the final source of recommendation.

Intervention

Treatment recommendation by catheterization laboratory cardiologist (CABG surgery, PCI, medical treatment, or nothing)

Comparator

Indications based on American College of Cardiology/American Heart Association guidelines

Outcome

Concordance between recommended treatment and ACC/AHA guideline indications

Cardiologists frequently recommend PCI over CABG in patients with coronary artery disease, deviating from ACC/AHA guidelines.

Cite This Study

Hannan et al. (2010) studied this question.

synapsesocial.com/papers/6a1091ef4fb650da4fffa933 https://doi.org/10.1161/circulationaha.109.887539

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Implication

Cardiologists' recommendations often favor PCI over guideline-indicated CABG; this observational finding leaves open reasons for deviation and outcome impact.

Adherence of Catheterization Laboratory Cardiologists to American College of Cardiology/American Heart Association Guidelines for Percutaneous Coronary Interventions and Coronary Artery Bypass Graft Surgery

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Adherence of Catheterization Laboratory Cardiologists to American College of Cardiology/American Heart Association Guidelines for Percutaneous Coronary Interventions and Coronary Artery Bypass Graft Surgery

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider