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Appropriateness of Angiography for Suspected Coronary Artery Disease Publisher Pubmed



Mohammadshahi M1 ; Sefiddashti SE2 ; Sakha MA3 ; Olyaeemanesh A1 ; Yazdani S4
Authors
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Authors Affiliations
  1. 1. National Institute of Health Research, Group of Payment and Financial Resources of the Health System, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Iran University of Medical Sciences, Deputy of Health, Health Promotion Office, Iran
  4. 4. Cardiovascular Research Center, Shahid Rajaei Educational and Medical Center, Alborz University of Medical Sciences, Karaj, Iran

Source: Indian Heart Journal Published:2021


Abstract

The aim of this study was to assess the appropriate use of diagnostic catheterizations (DC) for the patients with suspected coronary artery disease performed in Iran. The Electronic Health Record System database and manual review of files were utilised to collect data between 2012 and 2014. Patients were categorized in three groups as appropriate, uncertain, and inappropriate usage of DC and the logistic regression was used to investigate the relationships between variables. One-quarter of the 2458 angiographies were rated as inappropriate, out of which 99% had no previous stress test. The rate of inappropriate DC between various hospitals were approximately the same. The regression showed that some risk factors (Sex, high cholesterol, smoking, chronic heart failure, renal failure, diabetes) were significantly associated with inappropriate rate. © 2021 Cardiological Society of India
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