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Objectives Multimodality Imaging and Heart Disease Milind Y. Desai, MD FACC Tomsich Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic Disclosures: None

Introduction • CVD: biggest source of morbidity and mortality

• Introduction • Different imaging modalities and their strengths/weaknesses • Incorporation of multi-modality imaging in different clinical indications • Appropriateness criteria • Conclusions

Imaging and Real Data: A Major Disconnect • ACC/AHA guidelines: – 750 recommendations related to cardiac imaging 1%

• Many new imaging technologies • Advances in imaging outpacing our ability to digest the changes 54%

• Cost, risks, what to do with the information?

45%

Level A Level B Level C

– In 2009, CCF did more than 61000 echoes, 7500 CTs and 2500 CMR’s

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