Do not request annual follow-up echocardiography in patients with known mild-to-moderate valvular disease in the absence of new symptoms or clinical events and in patients with known mild left ventricular dysfunction in the absence of new symptoms or clinical events.
Since mild-moderate valvular disease generally has a slow progression, echocardiography should be performed more frequently only in the presence of changes in clinical status. Transthoracic echocardiography is indicated to investigate the appearance of new symptoms,...
Do not request a Holter ECG in patients with palpitations or syncope less than once a week.
The reduced frequency of episodes could lead to false negatives with an unfavorable cost-benefit balance.
Do not request inductive ischemia testing (stress test and other inductive ischemia tests) as a routine check-up in asymptomatic patients who have undergone surgical or percutaneous revascularization within 2 years from the procedure.
There are no data to support that early diagnosis of silent ischemia improves patient outcomes or that repeat guided by ischemia testing revascularization reduces mortality.
Do not replace surgical dressings before 48 hours have elapsed from the operation.
Traditional dressing of the surgical site should not be removed or replaced for 48 hours unless there is seepage, bleeding or clear signs of alterations in situ (in this case it should be replaced). The frequent change of medication is a useless activity and a waste...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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