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Panel recommends against ECG tests for heart disease
Reuters ^ | Jul 31, 2012 | Genevra Pittman

Posted on 08/02/2012 5:38:15 PM PDT by neverdem

Testing electrical activity of the heart using an electrocardiogram is unlikely to help doctors figure out who is at risk of coronary heart disease, according to recommendations from a U.S. government-backed panel.

The United States Preventive Services Task Force wrote on Monday that there's no good evidence the test, also known as an ECG, helps doctors predict heart risks any better than traditional considerations such as smoking, blood pressure and cholesterol levels in people with no symptoms.

"It could potentially be helpful if we had evidence that doing a test like an ECG or an exercise ECG would better classify the people who are at high risk" of heart disease, said Joy Melnikow, a member of the task force from the University of California, Davis.

"Then we could intervene more actively with the very high-risk group which has the highest potential to benefit."

The task force, which published a statement in the Annals of Internal Medicine, recommends against ECG screening of people considered at low risk for heart disease and says there's not enough information to rule one way or the other on those at intermediate or high risk.

On the other hand, there are both costs and possible harms associated with screening healthy adults, Melnikow said.

"The concern is that if people are already at low risk of heart disease and they have one of those tests, if they have an abnormality on the test it's more likely it will be a false-positive result," she added.

"But an abnormal result, whether a false positive or true positive, generally leads..."

--snip--

The new recommendations are an update of the USPSTF's 2004 guidelines, which also called for no screening in low-risk adults and said there was insufficient evidence to assess the risks and benefits for screening intermediate- and high-risk people...

(Excerpt) Read more at news.yahoo.com ...


TOPICS: Culture/Society; Extended News; Testing
KEYWORDS: cad; chd; deathpanel; deathpanels; ecg; electrocardiogram; heartdisease; obamacare; uspstf

1 posted on 08/02/2012 5:38:18 PM PDT by neverdem
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To: neverdem
Yeah, and think how much Obamacare $ it will save, when they can replace sophisticated medical diagnostic procedures with a with a piece of wet string and a Magic 8 Ball...
2 posted on 08/02/2012 5:43:30 PM PDT by DJ Frisat ((optional, printed after my name on post))
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To: neverdem
Give them a pain killer...
3 posted on 08/02/2012 5:43:30 PM PDT by null and void (Day 1290 of our ObamaVacation from reality - Heroes aren't made Frank, they're cornered...)
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To: neverdem

Government panel = death panel

You dont need no stinkin test


4 posted on 08/02/2012 5:44:00 PM PDT by GoCards (I am a Hobbit)
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To: neverdem

Obamacare doesn’t want to pay for it.


5 posted on 08/02/2012 5:48:11 PM PDT by ilovesarah2012
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To: neverdem

LOL! Yeah, they mean nothing.

I’m going tomorrow to get one from my cardiologist.
I’m sure that he will be quite surprised to know that it does nothing.

Sheesh!


6 posted on 08/02/2012 5:49:10 PM PDT by bill1952 (Choice is an illusion created between those with power - and those without)
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To: neverdem

Obamacare is starting to sound like a scene from the Woody Allen movie “Sleeper”:

Dr. Orva: Here. You smoke this, and be sure you get the smoke deep down into your lungs.

Miles Monroe: I don’t smoke.

Dr. Orva: It’s tobacco. It’s one of the healthiest things for your body. Now go ahead. You need all the strength you can get.


7 posted on 08/02/2012 5:49:50 PM PDT by yefragetuwrabrumuy
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To: neverdem

Death Panel talk.


8 posted on 08/02/2012 5:52:47 PM PDT by Paladin2
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To: neverdem
ObamaCare at it's finest...


9 posted on 08/02/2012 6:01:18 PM PDT by null and void (Day 1290 of our ObamaVacation from reality - Heroes aren't made Frank, they're cornered...)
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To: neverdem
My cardiologist is a senior member of the medical staff at one of the finest,and most famous,hospitals in the world.He periodically orders an ECG for me.If forced to choose between his judgment and the judgment of a government panel I suspect I'll go with his.

Every bloody time!

10 posted on 08/02/2012 6:04:13 PM PDT by Gay State Conservative (Poor Barack.If He's Reelected,Think Of The Mess He'll Inherit!)
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To: neverdem

This is the nihilistic approach in action. Studies will be increasingly designed to show that various diagnostic and therapeutic interventions are futile. The Hippocratic oath of “do no harm” will be re-interpreted as do nothing.
Let’s face it, if the media wants to use absurd D+10 models in order to show that 0bama is winning, and if the Dem party pulls out all the stops to promote voter fraud, what’s to stop the government from funding bogus, fake medical studies to justify their policy positions?
If 0-care is not repealed, we will rapidly descend into a system that resembles he NHS. At that point, your doctor (or NP/PA) will be a de facto government employee worthy of the same trust and confidence as a politician.


11 posted on 08/02/2012 6:05:20 PM PDT by grumpygresh (Democrats delenda est; zero sera dans l'enfer bientot.)
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To: neverdem

My recollection is that my blood was drawn for the cholesterol test during the same visit as the 10 minute EKG. Gee, I guess I should have waited for the blood test to be evaluated and returned if it’s needed. Doesn’t sound like a good or cheap process to me.

Also, an EKG while you are still healthy provides a baseline. Doctors like to know when things change. If your baseline has irregularities then those same irregularities can be discounted if you later have a cardio event.

These folks may be good with statistics, but they need to get out of the lab and see more patients.


12 posted on 08/02/2012 6:07:14 PM PDT by the_Watchman
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To: neverdem

I’m sure older pilots will be so glad to hear this and the FAA will immediately stop requiring them.

“U.S. government-backed panel.” No, the implementation of the same poor care given in countries with socialist medicine. I’ve been using that as an excuse for years not to have certain tests done. “It’s not required at my age in _____ so I’m not paying for it here.”


13 posted on 08/02/2012 6:07:24 PM PDT by pops88 (Standing with Breitbart for truth.)
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To: neverdem
The USPSTF is lying. I personally know of an individual who was diagnosed with LBBB because of a yearly ECG. In the year since the previous (good) ECG, the individual had already progressed to dilated cardiomyopathy (a form of heart failure). The individual was otherwise completely asymptomatic and apparently in the best of health (essentially 0 risk of atherosclerosis). After starting a regimen of prescription medication, diet, supplements and careful exercise, the individual was able to stabilize his heart disease. The individual has so far outlived the “normal” prognosis for the disease (5 years to 50% mortality, even with treatment). Without early detection, the outcome would have been much different (and much better from the death panel perspective).
14 posted on 08/02/2012 6:07:37 PM PDT by Ragnar54 (Obama replaced Osama as America's worst enemy)
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To: neverdem
according to recommendations from a U.S. government-backed panel

As always in life, follow the money & ask yourself who benefits. The truth shall be revealed.

15 posted on 08/02/2012 6:36:34 PM PDT by ChildOfThe60s (If you can remember the 60s....you weren't really there)
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To: neverdem

I would think the ECG was good for diagnosis of atrial fibrillation. So although it might not be definitive, it can serve to identify particular risk groups and should therefore be done as a screening test, perhaps at the 50 year checkup.


16 posted on 08/02/2012 6:47:55 PM PDT by Carry_Okie (The Slave Party Switcheroo: Economic crisis! Zero's eligibility Trumped!! Hillary 2012!!!)
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To: neverdem

If Obamac are won’t cover it, do it yourself: http://www.scientificamerican.com/article.cfm?id=home-is-where-the-ecg-is


17 posted on 08/02/2012 6:54:23 PM PDT by Western Phil
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To: null and void

http://abcnews.go.com/Politics/HealthCare/Story?id=7920012&page=2

OBAMA: But what we can do is make sure that at least some of the waste that exists in the system that’s not making anybody’s mom better, that is loading up on additional tests or additional drugs that the evidence shows is not necessarily going to improve care, that at least we can let doctors know and your mom know that, you know what? Maybe this isn’t going to help. Maybe you’re better off not having the surgery, but taking the painkiller.

Read more at abcnews.go.com ...


Eugenics lies at the heart of the progressive movement. ....as has been for about a century.


18 posted on 08/02/2012 8:01:44 PM PDT by TurboZamboni (Looting the future to bribe the present)
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To: Gay State Conservative
My cardiologist is a senior member of the medical staff at one of the finest,and most famous,hospitals in the world

Just the fact the you have a cardiologist says you have some sort of risk factor or diagnosis and are not part of the demographic this article references.

I remember back when I was about 27, slender, no drinking or smoking or family history. And yet they gave me an exercise ECG. That is the waste that's being discussed.

19 posted on 08/02/2012 8:26:33 PM PDT by steve86 (Acerbic by nature not nurture TM)
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To: Ragnar54

Anyone can come up with an anecdote — one individual, one test and it saved their life. This is supposed to justify giving everyone in the country that test every year or two. Yeah, right.


20 posted on 08/02/2012 8:30:36 PM PDT by steve86 (Acerbic by nature not nurture TM)
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To: null and void

Study questions CT scans to rule out heart attacks

http://www.twincities.com/ci_21156833/study-questions-ct-scans-rule-out-heart-attacks

next to go are CT scans...maybe divining rods will replace them.


21 posted on 08/02/2012 9:15:01 PM PDT by TurboZamboni (Looting the future to bribe the present)
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To: steve86
The point is that there are some conditions that can only be detected by an ECG. An undetected condition can easily result in a premature death. It should be up to each individual to make the cost/benefit analysis. The state is presuming the right to make that choice, and the state has a bias against helping the individual survive. I don't advocate "giving everyone in the country" any test. But the state has no business taking over medical care and making what amount to life and death decisions.
22 posted on 08/03/2012 7:21:22 AM PDT by Ragnar54 (Obama replaced Osama as America's worst enemy)
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To: TurboZamboni; null and void
OBAMA:...the evidence shows is not necessarily going to improve...

Replace Obama with any socialist or elite. The word 'evidence' and 'improve' aren't used in the normal sense of the words. The needed societal proscription has already been determined. Now the facts must be extrapolated in such a way as to confirm the 'correct' answer.

The above statement by Obama can be applied to any liberal idea. Gun control, free markets, individual liberty, marriage, etc. all fall under this design.

Think of every liberal attack against American freedom. The facts don't ever add up under scrutiny, but once the meme is determined they know they're right no matter what. To stand against them makes you a conspirator against 'real' progress (finally).

I'd suggest that at the heart of the progressive movement is idolatry. Liberals want to be God. 'They are the gods that would be.' Eugenics, anti-human attacks against both liberty and progress and every program are all built around creating man in their image.

If Cass Sunstein were your neighbor you'd warn your kids to stay away from him. In most American communities someone espousing his ideas would be ostracized. Yet at the academe he's a hero and the more education people receive the more likely they are to agree with Sunstein.

23 posted on 08/04/2012 4:03:04 AM PDT by 1010RD (First, Do No Harm)
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