Author:
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.
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.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Physiology (medical),Cardiology and Cardiovascular Medicine
Reference896 articles.
1. Intitute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Clinical Practice Guidelines We Can Trust. Washington DC: National Academies Press. 2011.
2. Institute of Medicine (US) Committee on Standards for Systematic Reviews of Comparative Effectiveness Research. Finding What Works in Health Care: Standards for Systematic Reviews. Washington DC: National Academies Press. 2011.
3. ACC/AHA Statement on Cost/Value Methodology in Clinical Practice Guidelines and Performance Measures
4. ACCF/AHA Task Force on Practice Guidelines. Methodology manual and policies from the ACCF/AHA Task Force on Practice Guidelines. American College of Cardiology and American Heart Association. 2010. Available at: https://www.acc.org/Guidelines/About-Guidelines-and-Clinical-Documents/Methodology. Accessed July 26 2021. https://professional.heart.org/-/media/phd-files/guidelines-and-statements/methodology_manual_and_policies_ucm_319826.pdf.
5. Further Evolution of the ACC/AHA Clinical Practice Guideline Recommendation Classification System
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