Don’t perform exercise stress test as screening of ischemic heart disease in asymptomatic patients at low cardiovascular risk
In asymptomatic patients without risk factors, the likelihood of coronary heart disease is very low. The stress test increases risk of false positives and induces further diagnostic tests to rule out the doubts raised by the test.
Don’t replace hand hygiene with the use of non-sterile disposable gloves. Use alcohol-based product as a first choice for hand hygiene routine.
Proper hand hygiene reduces the skin microbial population, representing the basic measure to ensure hand decontamination. In healthcare settings, non-sterile disposable gloves – or “gloves” – do not replace hand hygiene, as they have different...
Don’t routinely perform stress cardiac imaging test during the initial evaluation of suspected ischemic heart disease.
Stress cardiac imaging test should be performed only when relevant risk factors are present: diabetes in patient older than 4 – years-old, peripheral arterial disease, greater than 20% Framingham risk, or in the presence of EKG modification affecting the...
Don’t perform 24 hour Holter monitoring in patients with effort chest pain who can perform exercise stress test, unless arrhythmias should be investigated.
Since during Holter monitoring the amount of stress could not be calibrated, sensitivity and specificity for detecting ischemia in patients with chest pain are low. In these conditions stress test is superior.The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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