2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

This executive summary of the 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. A comprehensive literature search was conducted from November 11, 2017, to May 1, 2020,...

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Published inCirculation (New York, N.Y.) Vol. 144; no. 22; pp. e368 - e454
Main Authors Gulati, Martha, Levy, Phillip D., Mukherjee, Debabrata, Amsterdam, Ezra, Bhatt, Deepak L., Birtcher, Kim K., Blankstein, Ron, Boyd, Jack, Bullock-Palmer, Renee P., Conejo, Theresa, Diercks, Deborah B., Gentile, Federico, Greenwood, John P., Hess, Erik P., Hollenberg, Steven M., Jaber, Wael A., Jneid, Hani, Joglar, José A., Morrow, David A., O’Connor, Robert E., Ross, Michael A., Shaw, Leslee J.
Format Journal Article
LanguageEnglish
Published United States Lippincott Williams & Wilkins 30.11.2021
Subjects
Algorithms
American Heart Association
Chest Pain - diagnosis
Chest Pain - physiopathology
Chest Pain - therapy
Humans
Observational Studies as Topic
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
Registries
United States
United States
coronary artery disease
angina
biomarkers
cardiac imaging
myocardial infarction
accelerated diagnostic pathway
myocardial injury, noncardiac
AHA Scientific Statements
chest pain syndromes
acute coronary syndrome
noncardiac chest pain
chest pain
shared decision-making
myocardial ischemia
troponins
clinical decision pathway
sex differences
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Abstract This executive summary of the 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. A comprehensive literature search was conducted from November 11, 2017, to May 1, 2020, encompassing studies, 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. These guidelines present 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.
AbstractList This executive summary of the 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.AIMThis executive summary of the 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.A comprehensive literature search was conducted from November 11, 2017, to May 1, 2020, encompassing studies, 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. These guidelines present 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.METHODSA comprehensive literature search was conducted from November 11, 2017, to May 1, 2020, encompassing studies, 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. These guidelines present 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.
This executive summary of the 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. A comprehensive literature search was conducted from November 11, 2017, to May 1, 2020, encompassing studies, 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. These guidelines present 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.
Author Blankstein, Ron
Conejo, Theresa
Hollenberg, Steven M.
Shaw, Leslee J.
Jneid, Hani
Levy, Phillip D.
Gentile, Federico
Jaber, Wael A.
Amsterdam, Ezra
Ross, Michael A.
Greenwood, John P.
Morrow, David A.
O’Connor, Robert E.
Gulati, Martha
Birtcher, Kim K.
Boyd, Jack
Joglar, José A.
Mukherjee, Debabrata
Hess, Erik P.
Bhatt, Deepak L.
Bullock-Palmer, Renee P.
Diercks, Deborah B.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/34709928$$D View this record in MEDLINE/PubMed
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Keywords coronary artery disease
angina
biomarkers
cardiac imaging
myocardial infarction
accelerated diagnostic pathway
myocardial injury, noncardiac
AHA Scientific Statements
chest pain syndromes
acute coronary syndrome
noncardiac chest pain
chest pain
shared decision-making
myocardial ischemia
troponins
clinical decision pathway
sex differences
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Snippet This executive summary of the clinical practice guideline for the evaluation and diagnosis of chest pain provides recommendations and algorithms for clinicians...
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SubjectTerms Algorithms
American Heart Association
Chest Pain - diagnosis
Chest Pain - physiopathology
Chest Pain - therapy
Humans
Observational Studies as Topic
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
Registries
United States
Title 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
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