ASNC Guidelines App

Nuclear Cardiology Guidelines to All at the Point-of-Care for Free
The American Society of Nuclear Cardiology (ASNC) represents a key subset of cardiology — nuclear cardiology. Heart disease remains the number one killer in the United States. Heart disease accounts for 1 in every 4 deaths — one every 36 seconds. Additionally, fewer patients are dying from myocardial infarction and living with congestive heart failure and other sequelae. Combined this data has resulted in an explosion of non-invasive cardiac testing–echocardiography, nuclear cardiology (nuclear stress tests/PET scans), CT angiography/CAC scores, etc. As a result, there remain significant concerns about the overuse of these tests and their included costs. Both Choosing Wisely and the ASNC have put out statements and criteria to decrease these risks. We have previously reviewed most apps favorably from the American College of Cardiology including their outstanding ASCVD, Anticoag Evaluator, DAPT calculator, LDL Manager, TreatHF, and BridgeAnticoag apps. This is the first app I have reviewed from the ASNC.

Evidence-based medicine
The ASNC guidelines app takes most of the ASNC guidelines and presents them in an easy to view/use format. Their guidelines are a mix of evidence-based medicine and expert opinion. The app does not describe in detail the process of guideline creation. Each guideline includes extensive references with hyperlinks to the article/PubMed. Key position statements are included on videos embedded in the app as are key practice pointers. 

Who would benefit from this App?
Nuclear medicine providers, nuclear/general cardiologists, any provider who treats/performs nuclear cardiology procedures on patients.

Price

o Free.

Likes

  • Simple to navigate interface to explore each guidelines’ recommendations with excellent directions/video guide
  • Includes interactive tools/algorithms, links to references, and podcasts
  • Available for Android (and included guidelines in multiple languages)

Dislikes

  • Some sections of app text-heavy
  • No additional guidelines from the ASNC website such as appropriateness criteria
  • Some pharma advertisements are in app

Overall

The ASNC guideline app the ASNC guidelines to their providers (and maybe some interested primary care providers who do nuclear cardiology studies) for free. The app includes entire guidelines in easy to digest sections, interactive tools, position statement videos, links to references, and novel ways to share information within the app with others. The app is available for Android as well. It could be improved by including more of the guidelines from the ASNC website.  

Overall Score

o 4.5 stars

User Interface

o 4.5 stars

Easy to navigate and read interface that divides each guideline into key sections. Interactive tools/algorithms that can be viewed either as interactive tools or PDFs. Entire guideline pdfs included.

Multimedia Usage

o 4.5 stars

App includes interactive tools, links to full guideline PDFs, videos, links to podcasts, and references, and allows for sharing of documents from within the app.

Price

o 5 stars

App is free.

Real-World Applicability

o 4.0 stars

The ASNC guideline app puts many of the organization’s guidelines in an easy to use/review format. The app allows for both quick review via the UI sections, interactive tools/algorithms, video position statements, and hyperlinked references. It still leaves out a lot of information that is available on their website such as their appropriateness criteria. As it is currently configured, it is most useful for providers working in the nuclear medicine/nuclear cardiology fields.  

Device Used For Review

o iPhone 11 Pro running iOS 14.0.1

Available for Download for iPhone, iPad, and Android.

Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.

 

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