Dr Christiansen is currently Associate Chief Medical Officer and a Cardiologist at Waitemata DHB, Auckland, and a Clinical Senior Lecturer at the University of Auckland. He has a career-long interest in medical education, recently stepping down as chair of the College Education Committee for the RACP, and chairs Waitemata DHB’s Education Governance Committee. He is the immediate past NZ President, RACP.
Jonathan has a specialist interest in non-invasive imaging cardiac imaging in all modalities. A graduate of Auckland University, he was Chief Resident in Rochester, NY, and undertook Fellowships at the University of Virginia, and John Radcliffe Hospital, Oxford.
In his spare time he plays clarinets, saxophone and organ with the NZ Doctors’ Orchestra, has completed successful forensic facial reconstructions for the NZ Police, and is Chair of the Auckland Diving Community Trust which affords him many hours at the pool watching his two daughters tackle 5m platform dives that he personally would not consider doing.
A Pinch Of Probability Is Worth A Pound Of Perhaps: Some Thoughts On Diagnostic Testing For Coronary Disease
Making decisions in the diagnosis and management of chest pain is a daily challenge for physicians. The number of chest pain presentations continues to rise, despite declining risks and prevalence of coronary events. Guidelines have focused on using cardiac imaging to reach more definitive conclusions. However academic recommendations from specialist groups need to be balanced by a pragmatic approach to local resource constraints. A probability-based approach remains valid, but needs to be understood in a modern context. This presentation will discuss aspects of this frequently frustrating area of clinical practice.