Don’t routinely prescribe proton pump inhibitors (PPI) for gastrointestinal bleeding profilaxis in patient with single drug antiplatelet therapy in absence of additional risk factors
Gastrointestinal (GI) bleeding risk is increased in presence of double antiplatelet treatment. Risk factors for GI bleeding are: previous GI bleeding, peptic ulcer, advanced age, NSAIDs or steroid drugs use, oral anticoagulant therapy. In absence of risk factors, PPI...
Don’t perfom Holter electrocardiographic monitoring in patients suffering from syncope, near syncope o dizziness, in whom a non arrhytmic origin has been documented
Holter monitoring is indicated if the likelyhood of arrhytmia causing a syncope is elevated. Monitoring devices should be choosen according to syncope frequency: Holter for daily symptoms, external loop recorder for weekly, and subcutaneous implantable device for...
Don’t perform Computed Tomography for coronary calcium score in patients at high cardioascular risk
“Coronary calcium score” is not predictive of CV events in subjects already at high risk using traditional score systems
Don’t perform routine chest X-ray in patients entering rehabilitation programme after cardiac surgery
Patients always receive chest X-Ray before discharge from cardiac surgery. Further X-ray should be warranted only on clinical basis. Pleuric effusion monitoring should be performed by mean of thoracic echographyThe campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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