ABC | Volume 112, Nº5, May 2019

Short Editorial Magalhaes & Cade Appropriate use criteria for coronary angiography Arq Bras Cardiol. 2019; 112(5):532-533 1. Organization for Economic Cooperation andDevelopment.(OECD). Health at a Glance. [Internet] [Cited in 2018 Dec 10]. Available from: www.oecd. org/healthy-system/health-at-a-glance-19991312htm 2. Ford ES, Ajani UA, Croft JB, Critchley JA, Labarthe DR, Kottke TE, et al. Explaining the Decrease in U.S. Deaths. N Engl J Med. 2007; 356(23):2388-98. 3. Alzuhairi KS, Søgaard P, Ravkilde J, Gislason G, Køber L, Torp-Pedersen C. Incidence and outcome of first myocardial infarction according to gender and age in Denmark over a 35-year period (1978-2012). Eur Heart J - Qual Care Clin Outcomes. 2015;1(2):72-8. 4. Desai NR, Ott LS, George EJ, Xu X, Kim N, Zhou S, et al. Variation in and Hospital Characteristics Associated With the Value of Care for Medicare Beneficiaries With Acute Myocardial Infarction, Heart Failure, and Pneumonia. JAMA NetwOpen. 2018;1(6):e183519. 5. Leal J,Luengo-FernándezR,GrayA,PetersenS,RaynerM.Economicburden of cardiovascular diseases in the enlarged European Union. Eur Heart J. 2006; 27(13):1610-9. 6. McClellan M, Brown N, Califf RM, Warner JJ. Call to Action: Urgent Challenges in Cardiovascular Disease: A Presidential Advisory From the American Heart Association. Circulation. 2019;139(9):e44-e54. 7. KatzM, FrankenM, MakdisseM. Value-BasedHealth Care in Latin America. J Am Coll Cardiol. 2017;70(7):904-6. 8. Porter ME, Lee TH. The strategy that will fix health care. Harvard Business Review. Oct 2013. 9. MosesH,MathesonDHM,DorseyER,GeorgeBP,SadoffD,YoshimuraS.The anatomy of health care in the United States. JAMA. 2013;1’0(8):1947-63. 10. LucianoLSC,SilvaRLda,LonderoFilhoOM,WaldrichL,PanataL,Trombetta AP, et al. Analysis of the Appropriate Use Criteria for Coronary Angiography in Two Cardiology Services of Southern Brazil. Arq Bras Cardiol. 2019; 112(5):526-531 11. Patel MR, Bailey SR, Bonow RO, Chambers CE, Chan PS, Dehmer GJ, et al. ACCF/SCAI/AATS/AHA/ASE/ASNC/HFSA/HRS/SCCM/SCCT/SCMR/ STS 2012 appropriate use criteria for diagnostic catheterization. J Thorac Cardiovasc Surg.2012; 59(22):1995-2027. 12. Mohareb MM, Qiu F, Cantor WJ, Kingsbury KJ, Ko DT, Wijeysundera HC. Validation of the appropriate use criteria for coronary angiography: A cohort study. Ann Intern Med. 2015;162(8):549-56. 13. Hannan EL, Samadashvili Z, Cozzens K, Walford G, Holmes DR, Jacobs AK, et al. Appropriateness of diagnostic catheterization for suspected coronary artery disease in New York State. Circ Cardiovasc Interv. 2014;7(1):19-27. 14. Bradley SM, Spertus JÁ, Kennedy KF, Nallamothu BK, Chan OS, Patel MT, et al. The association between patient selection for diagnostic coronary angiography and hospital-level PCI appropriateness: insights from the NCDR. JAMA Intern Med.2014;174(10):630-9. References This is an open-access article distributed under the terms of the Creative Commons Attribution License compared with cardiology hospital (73% vs. 34%) Fourth, there was a lack of functional and intravascular invasive imaging assessments. Finally, the sample included only patients from the public health system and clinical outcomes were not presented. A further interesting finding of Luciano et al. 10 relates to the reasons behind the rarely appropriate (inappropriate) category of DC and the decision-making upstream. The higher the frequency of inappropriate DC, the more likely the frequency of further inappropriate interventions, a phenomenon called the “diagnostic-therapeutic cascade”. 14 The danger of this cascade was averted in the two Brazilian hospitals, however, where ALL patients rated as receiving an inappropriate DC, 21.9% of whom had severe obstructive CAD, remained under clinical treatment, which was carried out according to the best evidence available. We commend the authors and physicians for “doing the right things AND doing things right”, thus benefiting patients and the health care system. 533