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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Diagnóstico de Doença Coronária Estável por Angio Tomografia Computadorizada como exame de primeira linha: Análise de custos num Centro de Responsabilidade Integrada
Session:
SESSÃO DE COMUNICAÇÕES ORAIS 13 - FRONTEIRAS INOVADORAS NO DIAGNÓSTICO DA DOENÇA ARTERIAL CORONÁRIA E AVALIAÇÃO DE RISCO: DA IMAGEM AVANÇADA AOS RESULTADOS CLÍNICOS
Speaker:
Cláudia Magro
Congress:
CPC 2025
Topic:
B. Imaging
Theme:
03. Imaging
Subtheme:
03.2 Computed Tomography
Session Type:
Comunicações Orais
FP Number:
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Authors:
Claudia Russo; David Neves; Diogo Brás; Rita Rocha; Ricardo Ribeiro; Margarida Figo; Carlos Patinho; Amílcar Silva; Liliana Boieiro; Marisa Serrano; Sandra Oliveira; Lino Patrício
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif">In the health sector, we must always promote greater efficiency, with a view to reducing failures in the services provided and thus guaranteeing greater quality in the care and treatment of users of the National Health Service (SNS), making correct and efficient use of the scarce resources available to us.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif">In recent years, there has been an increase in cases of acute myocardial infarction (AMI) in the portuguese population, largely due to cardiovascular risk factors. Most of these cases could have been avoided with good control of these factors, healthy lifestyle habits and early diagnostic imaging.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif">Computed Tomography Angiography of the heart (CT Angiography) has recently emerged and can replace some tests. On its own, it helps to confirm and/or exclude CAD with its ability to detect CAD, calculate the coronary artery calcium score, as well as other cardiac pathologies. It also allows for extracardiac findings of decisive relevance to the patient's prognosis. It is a non-invasive test that is carried out with the injection of iodinated contrast to assess the flow of the arteries.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif">The Centro de Responsabilidade Integrada Cérebro-Cardiovascular do Alentejo (CRIA) has cardiac CT Angiography equipment and aims to increase its capacity for correct diagnosis, reducing the time and waiting list for treatment of CD in the Alentejo. It also aims to reduce healthcare costs.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif">The general aim of the project presented here is to assess whether the implementation of a protocol for the diagnosis and/or exclusion of stable CD, using CT angiography as a first-line test, is economically advantageous. Whether there will be <em>savings</em> for the Alentejo Central Local Health Unit (ULSAC). For this study, a survey was carried out of the number of MCDTs carried out in 2023 for the diagnosis of stable CD, the amount spent by ULSAC on these exams, as well as the amount spent on referring patients abroad for MCDTs that do not exist in this health unit. A survey was carried out of the costs per CT angiography, with human resources and consumables. We projected the amount that would be spent if the number of CT angiograms doubled as proposed by the project, and the amount that would be saved by reducing all other MCDTs by 50% and even eliminating others for the detection of stable CD. </span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Arial,sans-serif">With the implementation of this project, it is estimated that ULSAC would <em>save</em> €345,045.16/year, but with great clinical benefit.</span></span></p> <p style="text-align:justify"><strong><span style="font-size:11.0pt"><span style="font-family:"Arial",sans-serif">Keywords</span></span></strong><span style="font-size:11.0pt"><span style="font-family:"Arial",sans-serif">: Cardiac CT Angiography; Stable coronary disease; MCDT; Saving</span></span></p>
Slides
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