High-value recommendations how many cardiologists and primary care physicians are regularly following these recommendations?

 Exercise electrocardiography is the initial stress test in Patients who Can exercise and have normal findings on a baseline electrocardiogram 

Coronary calcium assessment in asymptomatic patients should be limited to those in intermediate risk in home reclassification of risk will influence primary prevention therapy:

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Percutaneous primary intervention in chronic stable annannA is for patients with refractory symptoms high-risk features or tanning ability to tolerate medical therapy

 ischemia guided approach is appropriate for low risk non-ST elevation acute coronary syndrome.

Do not use thrombolytic therapy for treatment of non-ST elevation at your current or recent roots

Do not use statin therapy for secondary prevention of cardiovascular disease in patients who are on hemodialysis

Do not use B type natriuretic peptide measurements to guide heart failure therapy

Office follow-up within one week of discharge reduces readmission rates and heart failure

Guideline directed medical therapy for heart failure with reduced injection fraction reduces cardiovascular mortality

Guideline directed medical therapy precedes consideration for device therapy and symptomatic heart failure

Do not use routinely baramA artery catheterization to guide heart failure therapy

low risk premature ventricular contractions require no intervention

 

pacemaker implantation is not indicated for asymptomatic first-degree heart block with bifascicular block

Do not perform genetic testing for hypertrophic cardiomyopathy in the absence of a identified mutation in the proband •

No treatment or follow-up is indicated in asymptomatic patent foramen ovale

Treatment of iron deficiency in patients with congenital cyanotic heart disease improves exercise capacity and quality of life

Manage uncomplicated ventricular septal defect with periodic clinical follow-up and imaging

Do not screen for peripheral vascular disease with ankle brachial index testing in asymptomatic patients without risk factors

Primary therapy for asymptomatic peripheral artery disease is a risk factor modification

Obtain a toe brachial index in patients with ankle brachial index 1.402 diagnosed peripheral vascular disease

Primary treatment of intermittent claudication is exercise training

Benign asymptomatic murmurs do not require investigation

Transthoracic echocardiogram is indicated for systolic murmur’s grade 3 x 6 or higher late or Holosystolic murmurs, diastolic or continuous murmurs and in murmurs with symptoms

Transthoracic echocardiogram is the initial imaging modality for suspected bacterial endocarditis