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Cardiac Diagnostic Heart Catheterization Imaging Request  Form

Cardiac Diagnostic Heart Catheterization Imaging Request Form

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Complex congenital heart disease OR assessment of previously repaired congenital heart disease Severe proximal coronary stenosis suggested on CTCA Computed Tomography Coronary Angiography Planned/ staged PCI Planned or staged coronary angioplasty or coronary stent of a recently diagnosed coronary blockage based upon a recent heart catheterization/coronary angiogram Abnormal stress test with exercise duration of less than 5 minutes AND abnormal ECG response or abnormal cardiac stress imaging...
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