In this large registry analysis of patients who had undergone PCI, researchers found those that underwent elective PCI, only 50% of them were for appropriate indications (38% were uncertain, and 12% were inappropriate). Most of those deemed inappropriate were performed in patients with no angina, low risk ischemia on stress testing, or sub-optimal anti-anginal therapy. Unnecessary cath/PCI is problematic, and is becoming an area of scrutiny for Medicare reimbursements (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.