[Management of outpatients with cardiac disease: follow-up timing and modalities]. in Giornale italiano di cardiologia (2006) / G Ital Cardiol (Rome). 2017 Jun;18(6):467-484. doi: 10.1714/2700.27608.
2017
AO Cuneo
Tipo pubblicazione
Review
Autori/Collaboratori (24)Vedi tutti...
Pecora D
U.O. Cardiologia, Fondazione Poliambulanza, Brescia.
Pierini S
U.O.C. Cardiologia, ASST Nord Milano, Cinisello Balsamo (MI).
Negri F
ATS 312 di Pavia, Distretto di Casteggio, Casteggio (PV).
et alii...
Abstract
The increasing rate of cardiovascular diseases, the improved survival after the acute phase, the aging of the population and the implementation of primary prevention caused an exponential increase in outpatient cardiac performance, thereby making it difficult to maintain a balance between the citizen-patient request and the economic sustainability of the healthcare system. On the other side, the prescription of many diagnostic tests with a view to defensive medicine and the related growth of patients' expectations, has led several scientific societies to educational campaigns highlighting the concept that "less is more".The present document is aimed at providing the general practitioner with practical information about a prompt diagnosis of signs/symptoms (angina, dyspnea, palpitations, syncope) of the major cardiovascular diseases. It will also provide an overview about appropriate use of diagnostic exams (echocardiogram, stress test), about the appropriate timing of their execution, in order to ensure effectiveness, efficiency, and equity of the health system.
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PMID : 28631761
DOI : 10.1714/2700.27608
Keywords
Outpatients; Hypertension/complications/drug therapy; Humans; Heart Diseases/complications/therapy; Health Priorities; Follow-Up Studies; Dyspnea/etiology/therapy; Disease Management; Diagnostic Techniques, Cardiovascular; Time Factors; Symptom Assessment; Practice Guidelines as Topic; Clinical Decision-Making; Cardiovascular Agents/therapeutic use; Ambulatory Care/methods/organization & administration/standards; Algorithms;