Circulation· 2021Q1· Guideline
2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
- 1,582citations
- Q1SCImago
- 2021year
Short summary
New guidelines offer evidence-based algorithms for diagnosing chest pain in adults, incorporating cost-value analysis and shared decision-making.
AI-generated from the title and abstract; the full text is not read.
Key points
- Provides updated recommendations and algorithms for the evaluation and diagnosis of chest pain in adult patients.
- Based on a comprehensive literature search from November 2017 to April 2021.
- Incorporates cost-value considerations into diagnostic testing strategies.
- Recommends shared decision-making between clinicians and patients.
AI-generated from the title and abstract; the full text is not read.
Abstract
AIM: This clinical practice guideline for the evaluation and diagnosis of chest pain provides recommendations and algorithms for clinicians to assess and diagnose chest pain in adult patients. METHODS: A comprehensive literature search was conducted from November 11, 2017, to May 1, 2020, encompassing randomized and nonrandomized trials, observational studies, registries, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, the Cochrane Collaboration, Agency for Healthcare Research and Quality reports, and other relevant databases. Additional relevant studies, published through April 2021, were also considered. STRUCTURE: Chest pain is a frequent cause for emergency department visits in the United States. The "2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain" provides recommendations based on contemporary evidence on the assessment and evaluation of chest pain. This guideline presents an evidence-based approach to risk stratification and the diagnostic workup for the evaluation of chest pain. Cost-value considerations in diagnostic testing have been incorporated, and shared decision-making with patients is recommended.
The authors' abstract, as published at the source. Circulation, 2021 · DOI ↗
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Field: Radiology, Nuclear Medicine and Imaging
Radiology, Nuclear Medicine and ImagingMedicine