Sophia Antipolis, 25 August 2023: Competency-based cardiac imaging delivery is needed for effective and efficient patient care, according to a European Society of Cardiology (ESC) statement published today in European Heart Journal, a journal of the ESC.1
All seven ESC subspeciality associations have endorsed the document, namely the European Association of Cardiovascular Imaging (EACVI), Association of Cardiovascular Nursing & Allied Professions (ACNAP), Association for Acute CardioVascular Care (ACVC), European Association of Preventive Cardiology (EAPC), European Association of Percutaneous Cardiovascular Interventions (EAPCI), European Heart Rhythm Association (EHRA) and Heart Failure Association (HFA) of the ESC.
EACVI President and report author Professor Steffen Petersen said: “Cardiac imaging is integral to the field of cardiology and to the patients we serve, and cardiologists are trained and competent to deliver all imaging methods. The ESC and EACVI support the delivery of competency-based cardiac imaging services delivery to improve the availability and quality of such services.”
Cardiovascular imaging is integral to managing all aspects of heart disease, including diagnosis, risk assessment, early detection and prevention, therapeutic decision making, guidance of invasive therapies, and long-term monitoring. The types of imaging include: 1) echocardiography; 2) cardiovascular magnetic resonance; 3) invasive coronary angiography and cardiac computed tomography; 4) advanced invasive imaging (optical coherence tomography and intracardiac echocardiography).; and 5) nuclear cardiology
Delivery of high-quality cardiac imaging services requires expertise in imaging methodology and an in-depth knowledge of heart disease. Cardiologists are well positioned to meet both of these needs.
First, imaging is a core competency of all cardiologists. In the ESC Core Curriculum for the Cardiologist, the EACVI outlines how to assess patients using the different imaging modalities which is then formally assessed by the European Examination in Core Cardiology (EECC).2 The ESC and the EACVI have also created a successful education and certification programme for all non-invasive cardiac imaging modalities. This equips cardiologists to provide high quality, competency-based cardiac imaging services.
Second, cardiologists have a deep understanding of cardiovascular pathology, complex physiology, and the consequences of imaging findings for the management of heart health and cardiovascular disease. This puts them in a unique position to select the most appropriate imaging test for each clinical scenario, taking patient preferences into account.