What is your top three high & low value cardiac Intervention?
High value
1.Pacemaker
2.Heparin in Acute coronary syndrome
3.Diuretic therapy for Cardiac failure & Pulmonary edema
Low value
1.PCI> 24 hrs after STEMI
2.Most CTO Interventions
3.AF ablation
Strong contenders for high value Interventions
1.PTMC
2.Thrombolysis & DAPT
3.Diet and excercise modulation
Strong contenders for low Value Intervention
1.TAVI in young & SAVR eligible population
2.Mitra clip
3.LAA appendage closure
Final message
Unfortunately, most of us are blinded (Artificially though!) to quality check, outcome assessment, and comparative effectiveness with already available modalities. Wish, every cardiologist creating and update their own list with a conscience and stick it on your consultation table.
Counterpoint
Value is a subjective concept that can be challenging to define precisely. It may not always apply equally to every individual.Ideally, population based value assessment should give us the true value. Reality is different. In some cases, what may seem like nonsense to others can hold significant value for a particular person. This highlights the importance of recognizing diverse perspectives.
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized ethics in cardiology What is Interventional cardiology Source Type: blogs