Wasteful Practices: The ACC List

The 5 ACC Recommendations Plus Resources

1. Don't perform stress cardiac imaging or advanced noninvasive imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present. 2010 Appropriate Use Criteria for Cardiac Computed Tomography 2. Don't perform annual stress cardiac imaging or advanced noninvasive imaging as part of routine follow-up in asymptomatic patients. No Benefit of CCTA Screening in Asymptomatics Stress Echo in Asymptomatic Patients After Revascularization 'Not Worth It' 3. Don't perform stress cardiac imaging or advanced noninvasive imaging as a preoperative assessment in patients scheduled to undergo low-risk noncardiac surgery. ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography 4. Don't perform echocardiography as routine follow-up for mild, asymptomatic native valve disease in adult patients with no change in signs or symptoms. 2011 Appropriate Use Criteria for Echocardiography 5. Don't perform stenting of nonculprit lesions during percutaneous coronary intervention (PCI) for uncomplicated, hemodynamically stable ST-segment elevation myocardial infarction (STEMI). Multivessel PCI During STEMI Associated With High Mortality