In a joint venture, the American College of Cardiology Foundation and several other organizations have published an extensive evidence-based document outlining when revascularization is clinically appropriate. Of 180 clinical scenarios, each was graded 1-9, with 7-9 indicating clinical appropriateness of revascularization (likely to improve health outcomes or survival), and 1-3 inappropriate (unlikely to improve health outcomes or survival). The full document is available at (link). In general, the use of revascularization for acute coronary syndromes, and for symptoms with ischemia, was considered appropriate. Inappropriate scenarios included asymptomatic patients, or those with low-risk findings on stress testing and minimal medical therapy.
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.