Thursday, December 27, 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, December 1, 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.”