TY - CHAP M1 - Book, Section TI - Appropriate Use of Nuclear Cardiology Techniques A1 - S. Sidhu, Gursukhman Deep A1 - Hendel, Robert C. A2 - Heller, Gary V. A2 - Hendel, Robert C. PY - 2022 T2 - Nuclear Cardiology: Practical Applications, 4e AB - KEY POINTSThe appropriate use criteria (AUC) were created to improve quality care and avoid misuse of medical technology.AUC are literature-based whenever possible, supplemented by consensus recommendations when data are lacking.AUC serve as methods for focused reduction of procedures based upon clinical value, not indiscriminant volume reduction.For symptomatic patients, AUC for nuclear cardiology procedures are based upon pretest likelihood of disease, exercise ability, and ECG interpretability.Among asymptomatic patients who have undergone revascularization, only those with incomplete revascularization should be tested or if completely revascularizated 2 years after percutaneous coronary intervention or 5 years following coronary artery bypass graft surgery.For preoperative assessment, testing is indicated only for high-risk surgery in patients with poor or unknown functional capacity who also have ≥1 risk factor.AUC support clinical decision support tools and are often included in regulatory and/or reimbursement policies. SN - PB - McGraw Hill LLC CY - New York, NY Y2 - 2024/03/28 UR - accesscardiology.mhmedical.com/content.aspx?aid=1190156963 ER -