![]() Detection and delineation of suspected coronary anomalies in young persons (less than 40 years of age) with suggestive symptoms (e.g., angina, syncope, arrhythmia, and exertional dyspnea without other known etiology of these symptoms in children and adults dyspnea, tachypnea, wheezing, periods of pallor, irritability (episodic crying), diaphoresis, poor feeding and failure to thrive in infants).Pre-operative assessment for planned non-coronary cardiac surgeries including valvular heart disease, congenital heart disease, and pericardial disease, in lieu of cardiac catheterization as the initial imaging study, in persons with low or intermediate pretest risk of obstructive CAD. ![]() Pre-operative assessment of persons scheduled to undergo 'high-risk" non-cardiac surgery, where an imaging stress test or invasive coronary angiography is being deferred unless absolutely necessary the ACC defines high-risk surgery as emergent operations, especially in the elderly, aortic and other major vascular surgeries, peripheral vascular surgeries, and anticipated prolonged surgical procedures with large fluid shifts and/or blood loss involving the abdomen and thorax.Evaluation of asymptomatic persons at an intermediate pre-test probability of coronary heart disease or atherosclerotic cardiovascular disease by Framingham risk scoring or Pooled Cohort Equations (see Appendix) who have an equivocal or uninterpretable exercise or pharmacological stress test or have resting electrocardiogram (ECG) changes (such as left bundle branch block (LBBB), pathologic q-waves, or right bundle branch block (RBBB) with left anterior fascicular block (LAFB) in which coronary artery disease (CAD) is a possible etiology ( Note: Current guidelines from the American Heart Association recommend against routine stress testing for screening asymptomatic adults).Rule out obstructive coronary stenosis in persons with a low or intermediate pre-test probability of coronary artery disease or atherosclerotic cardiovascular disease by Framingham risk scoring, Pooled Cohort Equations, or by American College of Cardiology (ACC) criteria (see Appendix) with a positive (i.e., greater than or equal to 1 mm ST segment depression) stress test.Rule out obstructive coronary stenosis in symptomatic persons with an low or intermediate pre-test probability of coronary artery disease or atherosclerotic cardiovascular disease by Framingham risk scoring, Pooled Cohort Equations, or by American College of Cardiology (ACC) criteria (see Appendix).Cardiac Computed Tomography (CT) Angiography of the Coronary ArteriesĪetna considers cardiac computed tomography (CT) angiography of the coronary arteries using 64-slice or greater medically necessary for the following indications:.This Clinical Policy Bulletin addresses cardiac CT, coronary CT angiography, calcium scoring and CT fractional flow reserve. Development of interactive learning modules to be used to enhance inter-professional knowledge of non-invasive testing procedures and improve ultrasound measurement and analysis techniques.Number: 0228 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References.Utilizing existing ultrasound technology in novel ways to study hemodynamics and their relationships to cardiovascular disease and cognition.Developing imaging and measurement protocol to extract texture features from ultrasound images of the arterial wall and plaque.Utilizing ultrasound to characterize the structure and tissue composition of the arterial wall and atherosclerotic plaque.Mitchell’s primary research interests are: ![]() She is also a fellow in the American Society of Echocardiography and recently received the American Society of Echocardiography 2022 Sonographer Lifetime Achievement Award.ĭr. Mitchell is a member of the Advanced Cardiac Sonographer (ACS) Exam Committee a fellow of the Society of Diagnostic Medical Sonographers a member of the Society for Vascular Ultrasound, American Society of Radiologic Technology, and the American Institute of Ultrasound in Medicine and past treasurer of the American Society of Echocardiography. Carol Mitchell, PhD, ACS, RDMS,RDCS, RVT, RT(R), FASE, FSDMS is a prolific teacher and education researcher, having won awards for both including the Society of Diagnostic Medical Sonography (SDMS) Distinguished Educator of the Year, Cardiac Sonographer Distinguished Teacher Award, Society of Diagnostic Medical Sonography Joan P. ![]()
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