California Regulations to Relax on Fluoroscopy

In February, the Alliance of Cardiovascular Professionals updated members regarding progress made to remove a regulatory burden preventing provision of team-based care in California cardiac cath labs during procedures involving fluoroscopy.

In October, 2015, the Radiologic Technology Certification Committee in California unanimously passed a motion allowing an individual under the direct and immediate supervision of the S&O to use an assistant in the real time movement of the patient under fluoroscopy... (A Step Forward for CVTs in California, ACVP Advocacy)

On April 13th, 2016, the Radiologic Technology Certification Committee (RTCC) of California met with an agenda item to clarify this motion. The amended motion reads:

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VIDEO: Ultrasound identifies dangerous plaque

New research in ultrasound out of Lund University in Sweden might be key to better, broader screening for cardiovascular risk.

A relatively simple mathematical calculation developed at Lund University can be used to interpret ultrasound signals and identify whether or not plaques consist of harmless connective tissue and smooth muscle cells or dangerous lipids and macrophages.

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Is ExECG your default diagnostic?

"Exercise stress electrocardiography (ExECG) is underutilized as the initial test modality in patients with interpretable electrocardiograms who are able to exercise. Although stress myocardial imaging techniques provide valuable diagnostic and prognostic information, variables derived from ExECG can yield substantial data for risk stratification, either supplementary to imaging variables or without concurrent imaging. (abstract)

What's your diagnostic test workflow?

A recent paper in JACC: Cardiovascular Imaging reviewed literature on the latest advances in exercise stress electrocardiography (ExECG) and argued that despite the ACC's recommendations, the test is still "underutilized" as the initial diagnostic test modality for suspected coronary artery disease.

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