Cardiac Testing

Online Resources

AstellasPatientResources.com

Download patient education resources you can customize for your facility. Access educational resources such as the Stress Test Coach handout to help prepare your patients for cardiac imaging tests.

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StressTestCoach.com

Visit this site to preview the Stress Test Coach—an online resource for patients who are preparing for a cardiac stress test. It can help them learn more about types of stress tests, how to get ready for a test, and what to expect on the day of the test.

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Downloadable Materials

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Patient Heart Imaging Test Guide

This 8-page brochure details what patients can expect during a cardiac stress test procedure and how to prepare for it.

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Patient Test Prep Checklist

This 2-page checklist will help your patients prepare for their stress test, and it includes information about foods and drinks they should avoid before the test.

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References

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Centers for Medicare & Medicaid Services. Medicare program; revisions to payment policies under the physician fee schedule and other revisions to Part B for CY 2018; Medicare Shared Savings Program requirements; and Medicare Diabetes Prevention Program; final rule. Fed Regist 2017;82(219):52976-3371.

Patient Workup

National Heart, Lung, and Blood Institute. Coronary Heart Disease. https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease#. Accessed 06-01-2018.
Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease. J Am Coll Cardiol 2012;60(24):e44-164.
Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes. Circulation 2014;130(25):e344-426. Erratum in: Circulation 2014;130(25):e433-4.
National Heart, Lung, and Blood Institute. Coronary Heart Disease Risk Factors. https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease-risk-factors. Accessed 01-29-18.
Goff DC, Lloyd-Jones DM, Benett G, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk. Circulation 2014;129(25 Suppl 2):S49-73. Erratum in: J Am Coll Cardiol 2014;63(25 Pt B):3026.
American College of Cardiology. ASCVD Risk Estimator. http://tools.acc.org/ldl/ascvd_risk_estimator/index.html#!/calulate/estimator. Accessed 06-18-2018.
American College of Cardiology. ASCVD Risk Estimator: About the Application. http://tools.acc.org/ldl/ascvd_risk_estimator/index.html#!/content/about/about-index. Accessed 06-18-2018.
American College of Cardiology. ASCVD Risk Estimator Plus. http://tools.acc.org/ASCVD-Risk-Estimator-Plus/#!/calculate/estimate. Accessed 06-13-2018.
Pencina MJ, D'Agostino RB Sr, Larson MG, Massaro JM, Vasan RS. Predicting the 30-year risk of cardiovascular disease: the Framingham Heart Study. Circulation 2009;119(24):3078-84.
Ridker PM, Buring JE, Rifai N, Cook NR. Development and validation of improved algorithms for the assessment of global cardiovascular risk in women: the Reynolds Risk Score. JAMA 2007;297(6):611-9. Erratum in: JAMA 2007;297(13):1433.
Ridker PM, Paynter NP, Rifai N, Gaziano JM, Cook NR. C-reactive protein and parental history improve global cardiovascular risk prediction. Circulation 2008;118(22):2243-51.

Appropriate Use

Centers for Medicare & Medicaid Services. Medicare program; revisions to payment policies under the physician fee schedule and other revisions to Part B for CY 2018; Medicare Shared Savings Program requirements; and Medicare Diabetes Prevention Program; final rule. Fed Regist 2017;82(219):52976-3371.
Centers for Medicare & Medicaid Services. Medicare program: revisions to payment policies under the physician fee schedule and other revisions to Part B for CY 2016; final rule with comment period. Fed Regist 2015;80(220):70885‐1386.
Centers for Medicare & Medicaid Services. Provider Led Entities (07-13-2017). https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Appropriate-Use-Criteria-Program/PLE.html. Accessed 06-08-2018.
Wolk MJ, Bailey SR, Doherty JU, et al. ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease. J Am Coll Cardiol 2014;63(4):380-406.
Centers for Medicare & Medicaid Services. Clinical Decision Support Mechanisms (03-30-2018). https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Appropriate-Use-Criteria-Program/CDSM.html. Accessed 06-07-2018.
Wennberg DE, Birkmeyer JD, eds; Dartmouth Atlas of Cardiovascular Health Care Working Group. The Dartmouth Atlas of Cardiovascular Health Care. Chicago, IL: AHA Press, 1999.
Miller ME. MedPAC Recommendations on Imaging Services (03-17-2005). https://www.aaos.org/Govern/public/Imaging/MedPAC_Imaging.pdf. Accessed 07-03-2018.
Medicare Payment Advisory Commission. Report to the Congress: Medicare Payment Policy (03-01-2005). http://www.medpac.gov/docs/default-source/reports/Mar05_EntireReport.pdf. Accessed 05-10-2017.
Hendel RC, Cerqueira M, Douglas PS, et al. A multicenter assessment of the use of single-photon emission computed tomography myocardial perfusion imaging with appropriateness criteria. J Am Coll Cardiol 2010;55(2):156-62.

Cardiac Tests

Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease. J Am Coll Cardiol 2012;60(24):e44-164.
American College of Cardiology. ASCVD Risk Estimator. http://tools.acc.org/ldl/ascvd_risk_estimator/index.html#!/calulate/estimator. Accessed 06-18-2018.
Wolk MJ, Bailey SR, Doherty JU, et al. ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease. J Am Coll Cardiol 2014;63(4):380-406.
Balady GJ, Morise AP. Exercise electrocardiographic testing. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald’s Heart Disease. 11th ed. Philadelphia, PA: Elsevier Saunders, 2019:154-73.
Shaw LJ, Peterson ED, Shaw LK, et al. Use of a prognostic treadmill score in identifying diagnostic coronary disease subgroups. Circulation 1998;98(16):1622-30.
Udelson JE, Dilsizian V, Bonow RO. Nuclear cardiology. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald’s Heart Disease. 11th ed. Philadelphia, PA: Elsevier Saunders, 2019:261-300.
American Society of Nuclear Cardiology, MedAxiom. 2013 nuclear cardiology trend survey. J Nucl Cardiol 2014;21(Suppl 1):5-88.
Henzlova MJ, Duvall WL, Einstein AJ, Travin MI, Verberne HJ. ASNC imaging guidelines for SPECT nuclear cardiology procedures. J Nucl Cardiol 2016;23(3):606-39. Erratum in: J Nucl Cardiol 2016;23(3):640-2.
Centers for Medicare & Medicaid Services. Medicare program: revisions to payment policies under the physician fee schedule and other revisions to Part B for CY 2016; final rule with comment period. Fed Regist 2015;80(220):70885‐1386.
American Heart Association. Single Photon Emission Computed Tomography (SPECT) (09-19-2016). http://www.heart.org/HEARTORG/Conditions/HeartAttack/DiagnosingaHeartAttack/Single-Photon-Emission-Computed-Tomography-SPECT_UCM_446358_Article.jsp#.WXdxYI6QyS4. Accessed 05-29-2018.
National Heart, Lung, and Blood Institute. Who Needs Echocardiography? (10-31-2011) https://www.nhlbi.nih.gov/health/health-topics/topics/echo/whoneeds. Accessed 11-10-2017.
Solomon SD, Wu JC, Gillam L. Echocardiography. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald’s Heart Disease. 11th ed. Philadelphia, PA: Elsevier Saunders, 2019:174-251.
Kwong RY. Cardiovascular magnetic resonance imaging. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald’s Heart Disease. 11th ed. Philadelphia, PA: Elsevier Saunders, 2019:301-20.

Patient Education

National Heart, Lung, and Blood Institute. Coronary Heart Disease. https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease#. Accessed 06-01-2018.
Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease. J Am Coll Cardiol 2012;60(24):e44-164.
American Heart Association. Atherosclerosis (11-16-2017). http://www.heart.org/HEARTORG/Conditions/Cholesterol/WhyCholesterolMatters/Atherosclerosis_UCM_305564_Article.jsp#. Accessed 06-27-2018.
American Heart Association. Atherosclerosis (Slideshow). https://watchlearnlive.heart.org/CVML_Player.php?moduleSelect=athero. Accessed 06-27-2018.
National Heart, Lung, and Blood Institute. Coronary Heart Disease Risk Factors. https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease-risk-factors. Accessed 01-29-18.
Benjamin EJ, Virani SS, Callaway CW, et al. Heart disease and stroke statistics—2018 update. Circulation 2018;137(12):e67-492. Erratum in: Circulation 2018;137(12):e493.
Colby SL, Ortman JM; United States Census Bureau. Projections of the Size and Composition of the U.S. Population: 2014 to 2060 (03-2015). https://www.census.gov/content/dam/Census/library/publications/2015/demo/p25-1143.pdf. Accessed 06-08-2018.
Wolk MJ, Bailey SR, Doherty JU, et al. ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease. J Am Coll Cardiol 2014;63(4):380-406.
Henzlova MJ, Duvall WL, Einstein AJ, Travin MI, Verberne HJ. ASNC imaging guidelines for SPECT nuclear cardiology procedures. J Nucl Cardiol 2016;23(3):606-39. Erratum in: J Nucl Cardiol 2016;23(3):640-2.

Patient Resources