Comments on: A blogging cardiologist on the MDCT scan and torcetrapib http://www.kevinmd.com/blog/2006/11/blogging-cardiologist-on-mdct-scan-and.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2006/11/blogging-cardiologist-on-mdct-scan-and.html/comment-page-1#comment-68374 Anonymous Thu, 02 Nov 2006 09:48:00 +0000 http://clients.emmense.com/kevinmd/2006/11/a-blogging-cardiologist-on-the-mdct-scan-and-torcetrapib.html#comment-68374 "There is significant pressure by government agencies to limit CT scan imaging in ER's."<br/><br/>There is? I'm an ER doc, and I scan almost every patient that comes through the doors, for one defensive reason or other, most of the time just to cover my ass. No government agency ever pressured me. If they wanted to decrease the scans they should make the lawyers decrease their butt ramming. “There is significant pressure by government agencies to limit CT scan imaging in ER’s.”

There is? I’m an ER doc, and I scan almost every patient that comes through the doors, for one defensive reason or other, most of the time just to cover my ass. No government agency ever pressured me. If they wanted to decrease the scans they should make the lawyers decrease their butt ramming.

]]> By: Jan http://www.kevinmd.com/blog/2006/11/blogging-cardiologist-on-mdct-scan-and.html/comment-page-1#comment-68365 Jan Thu, 02 Nov 2006 04:27:00 +0000 http://clients.emmense.com/kevinmd/2006/11/a-blogging-cardiologist-on-the-mdct-scan-and-torcetrapib.html#comment-68365 This test will only be useful to rule out ACS, not to rule in ACS or MI. And many technical factors have not been mentioned. Patients need to be adequately beta-blocked with heart rates approaching 60 in order for the scan to be useful.<br/>And although the imaging itself takes only a few seconds, the processing of the data, 3-d reconstruction and interpretation take considerably longer. <br/>I suspect that this will not be as useful as many are hoping. This test will only be useful to rule out ACS, not to rule in ACS or MI. And many technical factors have not been mentioned. Patients need to be adequately beta-blocked with heart rates approaching 60 in order for the scan to be useful.
And although the imaging itself takes only a few seconds, the processing of the data, 3-d reconstruction and interpretation take considerably longer.
I suspect that this will not be as useful as many are hoping.

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