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Documento de Consenso sobre Estratificação de Risco Cardiovascular e estudo da doença coronária em Portugal: a posição dos Grupos de Estudo de Cardiologia Nuclear, Ressonância Magnética e Tomografia Computorizada Cardíaca, de Ecocardiografia e de Fisiopatologia do Esforço e Reabilitação Cardíaca

2020; Elsevier BV; Volume: 41; Issue: 3 Linguagem: Inglês

10.1016/j.repc.2020.10.009

2174-2030

Nuno Bettencourt, Lígia Mendes, José Paulo Fontes, Pedro Matos, Catarina Ferreira, Ana Botelho, Sofia Carvalho, A Durazzo, Ana Faustino, Ricardo Ladeiras‐Lopes, Mariana Vasconcelos, Catarina Vieira, Miguel Correia, A Ferreira, Nuno Ferreira, Gustavo Pires‐Morais, Ana G. Almeida, Maria João Ferreira, Madalena Teixeira,

Cardiac Valve Diseases and Treatments

Despite constant medical evolution, the reimbursement policy of Portuguese National Health Service (NHS) for the study and risk stratification of coronary heart disease has remained unchanged for several decades. Lack of adjustment to contemporary clinical practice has long been evident. However, the recent publication of the European Guidelines for diagnosis and treatment of chronic coronary syndromes further highlighted this gap and the urgent need for a change. Prompted by these Guidelines, the Working Group on Nuclear Cardiology, Cardiac Magnetic Resonance and Cardiac CT, the Working Group on Echocardiography and the Working Group on Stress Pathophysiology and Cardiac Rehabilitation of the Portuguese Society of Cardiology, began a process of joint reflection on the current limitations and how these recommendations could be applied in Portugal. To this end, the authors suggest that the new imaging methods (stress echocardiogram, cardiac computed tomography and cardiac magnetic resonance), should be added to exercise treadmill stress test and myocardial perfusion scintigraphy in the available exam portfolio within the Portuguese NHS. This change would allow full adoption of European guidelines and a better use of tests, according to clinical context, availability and local specificities. The adoption of clinical guidance standards, based on these assumptions, would translate into a qualitative improvement in the management of these patients and would promote an effective use of the available resources, with potential health and financial gains.