A recent article in the New York Times raised a controversial question about the role of CT angiography of the heart. The article described the potential for over use especially in settings where the ordering physician has economic gains from the performance of the test. The article was quite critical of some cardiologists. Read excerpts from the article here
A number of responses have been published supporting different opinions on the topic.
On the opposite end of the spectrum at angioplasty.org, a strong argument supporting the selective use of CT angiography was presented. The article refutes claims that CT angiography is an overused, unproven technology.
Interestingly, you find that the vascular imaging lobby is quite strong and ready for a scrum. Dr Z's medical report is one attempt at a disinterested opinion on the hot button topic. He suggests that as always, if there is any doubt in your mind about the need for a test or some inappropriate incentive-Ask twice and verify with a second opinion.
Surely theres more to come about this sensitive topic in the current medical environment
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