POEMs

Screening Echocardiography Not Beneficial



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Am Fam Physician. 2014 Feb 1;89(3):224.

Clinical Question

Does screening for heart disease with echocardiography decrease mortality, myocardial infarction risk, or stroke risk?

Bottom Line

Population-based screening for heart disease or valve disease with echocardiography will identify cardiac pathology in patients but does not decrease mortality, myocardial infarction risk, or stroke risk. (Level of Evidence = 1b)

Synopsis

In 1994 and 1995, researchers enrolled 6,861 middle-aged (average age = 60 years) inhabitants of a single city (Tromsø, Norway). The participants were randomly as

POEMs (patient-oriented evidence that matters) are provided by Essential Evidence Plus, a point-of-care clinical decision support system published by Wiley-Blackwell. For more information, please see http://www.essentialevidenceplus.com. Copyright Wiley-Blackwell. Used with permission.

For definitions of levels of evidence used in POEMs, see http://www.essentialevidenceplus.com/product/ebm_loe.cfm?show=oxford.

To subscribe to a free podcast of these and other POEMs that appear in AFP, search in iTunes for "Poem of the Week" or go to http://goo.gl/3niWXb.



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