Thursday 27 December 2018

Platypnea-Orthodeoxia Syndrome

Evaluating the Evidence for Coronary Computed Tomography Angiography as the Noninvasive Test of Choice for Patients With Stable Chest Pain

n conclusion, the totality of the evidence does not support endorsing CCTA as the noninvasive test of choice in evaluating patients with stable chest pain. Arguably, there is only 1 trial with favorable, albeit not robust, outcome data8; however, the quality and the quantity of evidence is not sufficient to justify the imprimatur of Class I recommendation of the ACC/AHA guidelines. At best, CCTA can be deemed an alternative to standard care (including conventional stress testing) in these patients. Any claim to the contrary is perhaps a case of enthusiasm exceeding the evidence.

Saturday 1 December 2018

The art of observation

The art of observation

“Art and science, as rigorous observations and representations of nature, are fundamentally
complementary; at times, they seem inextricable.”