TY - JOUR
T1 - 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/ SCMR Guideline for the Evaluation and Diagnosis of Chest Pain
T2 - A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
AU - Gulati, Martha
AU - Levy, Phillip D.
AU - Mukherjee, Debabrata
AU - Amsterdam, Ezra
AU - Bhatt, Deepak L.
AU - Birtcher, Kim K.
AU - Blankstein, Ron
AU - Boyd, Jack
AU - Bullock-Palmer, Renee P.
AU - Conejo, Theresa
AU - Diercks, Deborah B.
AU - Gentile, Federico
AU - Greenwood, John P.
AU - Hess, Erik P.
AU - Hollenberg, Steven M.
AU - Jaber, Wael A.
AU - Jneid, Hani
AU - Joglar, José A.
AU - Morrow, David A.
AU - O’Connor, Robert E.
AU - Ross, Michael A.
AU - Shaw, Leslee J.
N1 - Publisher Copyright:
© 2021 by the American Heart Association, Inc., and the American College of Cardiology Foundation.
PY - 2021/11/30
Y1 - 2021/11/30
N2 - 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.
AB - 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.
KW - AHA Scientific Statements
KW - accelerated diagnostic pathway
KW - acute coronary syndrome
KW - angina
KW - biomarkers
KW - cardiac imaging
KW - chest pain
KW - chest pain syndromes
KW - clinical decision pathway
KW - coronary artery disease
KW - myocardial infarction
KW - myocardial injury
KW - myocardial ischemia
KW - noncardiac
KW - noncardiac chest pain
KW - sex differences
KW - shared decision-making
KW - troponins
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U2 - 10.1161/CIR.0000000000001029
DO - 10.1161/CIR.0000000000001029
M3 - Review article
C2 - 34709928
AN - SCOPUS:85120824023
SN - 0009-7322
VL - 144
SP - E368-E454
JO - Circulation
JF - Circulation
IS - 22
ER -