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 prescribe Vitamin K Antagonists if the patient has no contraindication to the use of direct oral anticoagulants (DOACs).
The different mechanism of direct oral anticoagulants (DOACs) compared to traditional oral anticoagulant therapy explains the better risk/benefit ratio of these drugs associated with a reduction of intracranial bleeding in different clinical settings (atrial...
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...
In infants and children with torticollis without trauma, do not perform X-rays of the cervical spine.
The diagnosis of torticollis is clinical. Congenital torticollis is usually diagnosed within the first month of life; diagnosis after 6 months is rare and other causes must be considered. In the newborn or suckling infant, the main cause is muscular and the imaging...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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