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- W1989554482 abstract "<h3>To the Editor.</h3> —The article by Graboys et al<sup>1</sup>brought forth a spate of dissenting Letters to the Editor in<i>JAMA</i>. The letter from Dr Schneider<sup>2</sup>inadvertently focuses on what I believe to be the major problem that leads to the overuse of coronary angiography and other high-tech procedures (which are also high-cost), such as magnetic resonance imaging, computed tomography, vascular laboratories, and special blood tests. He says, Coronary angiography has become the cornerstone of both the accurate diagnosis and clinical management of patients suspected of having coronary artery disease. Few would deny that angiography is the criterion standard, but the cornerstone of diagnosis was, is, and shall always be a detailed history and careful physical. Appropriate noninvasive tests may be added, and only in the most unusual instance is angiography necessary for diagnosis. If it were reserved for those patients who were bona fide candidates for intervention" @default.
- W1989554482 created "2016-06-24" @default.
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- W1989554482 date "1993-06-16" @default.
- W1989554482 modified "2023-09-25" @default.
- W1989554482 title "Second Opinions for Patients Recommended for Coronary Angiography" @default.
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- W1989554482 doi "https://doi.org/10.1001/jama.1993.03500230070031" @default.
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