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Research Letter
Less Is More
September 2018

Association Between Offering Limited Left Ventricular Ejection Fraction Echocardiograms and Overall Use of Echocardiography

Author Affiliations
  • 1Division of Cardiology, Stanford University School of Medicine, Stanford, California
  • 2Division of Cardiology, Veterans Affairs Palo Alto Health Care System, Palo Alto, California
JAMA Intern Med. 2018;178(9):1270-1272. doi:10.1001/jamainternmed.2018.3317

Medicare spends more than $900 million annually on echocardiography.1 Despite the development of appropriate use criteria for echocardiography to limit inappropriate testing, at least 5% to 20% of studies may remain inappropriate.2-5 One overlooked mechanism of reducing costs is to improve test efficiency. For simple indications, a brief echocardiogram with minimal views and measurements may answer the diagnostic question.

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