Do not request stress testing for inducible ischemia.
It is not appropriate to use stress testing to diagnose obstructive coronary artery disease as a first-line test, as it has extremely limited diagnostic power in recognizing or excluding significant coronary artery disease. Stress testing may be considered for the...
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. (Green recommendation)
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...
Do not request routine coronary angiography in all patients with heart failure with reduced systolic function, asymptomatic for angina pectoris, and without signs of inducible ischemia, with low pretest probability of coronary artery disease or in the absence of known anatomy favorable to further revascularization.
Coronary angiography may be considered in patients with heart failure with reduced ejection fraction with an intermediate-high pre-test probability of coronary artery disease, in the presence of inducible ischemia, and in the presence of coronary anatomy favorable to...
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,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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