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- W2109651489 abstract "Variability in physician decision-making is evident from recent studies on acute coronary syndrome documenting substantial differences in the use of various cardiac procedures.1 Fundamental to decision-making is the recognition of the most powerful predictors of survival. It is essential for the cardiovascular specialists to attempt and define the appropriate indications for medications and procedures and to base these recommendations on data from clinical research studies whenever possible.The essential feature of clinical judgment is that physicians do not act solely on an evidence basis or on an arbitrary basis. Clinical judgment combines personal clinical experience, published research, patient perspectives, and other insights. Clinical judgment, however, might be a flaw. Common elements that may produce errors include conflicting information, limited time, and the physicians' remind of their own clinical experience, the latter being too heavily influenced by recent cases or particularly bad or good outcomes.2 Clinical consensus guidelines are developed to overcome these recognized limitations by providing a complete and unbiased picture of published research and clinical experience.3,4Although applying guidelines is highly rational, clinicians do not always make decisions in this fashion. The perspective article by Yan et al .5 is a welcome explication of this contentious topic. In this study, participating physicians were asked to categorize their patients into low, intermediate, and high-risk groups, according to the Canadian guidelines that are similar to the ACC/AHA and ESC guidelines. Cardiac catheterization is recommended for … *Corresponding author. Tel:/fax: +39 (0) 513 47290. E-mail address : raffaele.bugiardini{at}unibo.it" @default.
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- W2109651489 title "Barriers to clinical risk scores adoption" @default.
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- W2109651489 doi "https://doi.org/10.1093/eurheartj/ehm084" @default.
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