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Documenting Ischemia Prior to Elective Percutaneous Coronary Intervention

William J. Kostis, PhD, MD; Steven P. Schulman, MD
JAMA. 2009;301(10):1018-1019. doi:10.1001/jama.2009.258.
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To the Editor: In their observational cohort study of Medicare fee-for-service beneficiaries aged 65 years or older, Dr Lin and colleagues1 reported that the majority of patients with stable coronary artery disease did not undergo stress testing to document ischemia within 90 days prior to elective percutaneous coronary intervention (PCI). The authors state that for patients with stable angina, any vessels to be dilated must be shown to be “associated with a moderate to severe degree of ischemia on noninvasive testing” (referring to the class IIa recommendation in section 5.1 on page e205 of the guidelines from the American College of Cardiology, the American Heart Association, and the Society for Cardiovascular Angiography and Intervention [ACC/AHA/SCAI]2).


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March 11, 2009
Grace A. Lin, MD, MAS; David J. Malenka, MD; Rita F. Redberg, MD, MSc
JAMA. 2009;301(10):1018-1019. doi:10.1001/jama.2009.259.
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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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