Do not prescribe benzodiazepines and Serotonergic Antidepressants (SSRIs) after an acute cardiovascular event without planning for a follow-up review.
Benzodiazepines (BDZ) are the most prescribed drugs in Western countries and up to 30% of patients prescribed it during hospitalization continue to take it at 12 months. BDZs are associated with a 5-fold increase in cognitive impairment, psychomotor impairment, and...
Do not routinely check a carotid stenosis of less than 50% every year with Color Doppler Ultrasound.
The so-called “low-grade” stenoses are largely represented (up to 90%) in observational series of “first examinations”. In these, the progression of the stenosis has been calculated in around 7% of cases. The “uncritical” and...
Do not systematically request an ECG-Holter in patients with sporadic palpitation if structural heart disease has already been excluded.
The 24-hour dynamic ECG according to Holter represents a simple and non-invasive but time consuming diagnostic tool. In clinical practice we often see inappropriate prescriptions. Palpitations are the most common indication (up to 20% of prescriptions). Holter ECG is...
Do not perform an ischemia induction test in the follow-up of chronic coronary syndromes in the stable and asymptomatic patient.
In chronic coronary syndromes, with preserved left ventricular function, coronary revascularization aims to control symptoms and does not affect the prognosis. In stable and asymptomatic patients, ischemia research tests are not indicated and increase the risk of...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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