In this large registry analysis of patients who had undergone PCI, researchers found those that underwent elective PCI, only 50% of them were for appropriate indications (38% were uncertain, and 12% were inappropriate). Most of those deemed inappropriate were performed in patients with no angina, low risk ischemia on stress testing, or sub-optimal anti-anginal therapy. Unnecessary cath/PCI is problematic, and is becoming an area of scrutiny for Medicare reimbursements (abstract)
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