Decrease in Cardiovascular Disease Risk Due to a National Initiative to Improve Preventive Services in Small Primary Care Practices

2021 ◽  
Vol 56 (S2) ◽  
pp. 77-77
Author(s):  
Stephan Lindner ◽  
Thomas Kottke ◽  
Bijal Balasubramanian ◽  
John McConnell ◽  
Miguel Marino ◽  
...  
Author(s):  
Miguel Marino ◽  
Leif Solberg ◽  
Rachel Springer ◽  
K. John McConnell ◽  
Stephan Lindner ◽  
...  

Author(s):  
Ralf E. Harskamp

Abstract Electrocardiograms (ECGs) are frequently recorded in primary care for screening purposes. An ECG is essential in diagnosing atrial fibrillation, and ECG abnormalities are associated with cardiovascular events. While recent studies show that ECGs adequately reclassify a proportion of patients based on the clinical risk score calculations, there are no data to support that this also results in improved health outcomes. When applied for screening for atrial fibrillation, more cases are found with routine care, but this would be undone when physicians would perform systematic pulse palpation. In most studies, the harms of routine ECG use (such as unnecessary diagnostic testing, emotional distress, increased health expenses) were poorly documented. As such, the routine performing of ECGs in asymptomatic primary care patients, whether it is for cardiovascular disease risk assessment or atrial fibrillation, cannot be recommended.


2019 ◽  
Vol 17 (Suppl 1) ◽  
pp. S17-S23 ◽  
Author(s):  
Erin S. Rogers ◽  
Allison M. Cuthel ◽  
Carolyn A. Berry ◽  
Sue A. Kaplan ◽  
Donna R. Shelley

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