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
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. A comprehensive literature search was conducted from November 11, 2017, to May 1, 2020, encompassing randomized...
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| Veröffentlicht in: | Journal of the American College of Cardiology 2021-11, Vol.78 (22), p.e187 |
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| container_issue | 22 |
| container_start_page | e187 |
| container_title | Journal of the American College of Cardiology |
| container_volume | 78 |
| creator | 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 |
| description | 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.
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.
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. |
| doi_str_mv | 10.1016/j.jacc.2021.07.053 |
| format | Article |
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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.
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.</description><identifier>ISSN: 1558-3597</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2021.07.053</identifier><identifier>PMID: 34756653</identifier><language>eng</language><publisher>United States</publisher><subject>Algorithms ; American Heart Association ; Cardiology ; Chest Pain - diagnosis ; Humans ; Research Report ; Societies, Medical ; United States</subject><ispartof>Journal of the American College of Cardiology, 2021-11, Vol.78 (22), p.e187</ispartof><rights>Copyright © 2021 by the American Heart Association, Inc., and the American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34756653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gulati, Martha</creatorcontrib><creatorcontrib>Levy, Phillip D</creatorcontrib><creatorcontrib>Mukherjee, Debabrata</creatorcontrib><creatorcontrib>Amsterdam, Ezra</creatorcontrib><creatorcontrib>Bhatt, Deepak L</creatorcontrib><creatorcontrib>Birtcher, Kim K</creatorcontrib><creatorcontrib>Blankstein, Ron</creatorcontrib><creatorcontrib>Boyd, Jack</creatorcontrib><creatorcontrib>Bullock-Palmer, Renee P</creatorcontrib><creatorcontrib>Conejo, Theresa</creatorcontrib><creatorcontrib>Diercks, Deborah B</creatorcontrib><creatorcontrib>Gentile, Federico</creatorcontrib><creatorcontrib>Greenwood, John P</creatorcontrib><creatorcontrib>Hess, Erik P</creatorcontrib><creatorcontrib>Hollenberg, Steven M</creatorcontrib><creatorcontrib>Jaber, Wael A</creatorcontrib><creatorcontrib>Jneid, Hani</creatorcontrib><creatorcontrib>Joglar, José A</creatorcontrib><creatorcontrib>Morrow, David A</creatorcontrib><creatorcontrib>O'Connor, Robert E</creatorcontrib><creatorcontrib>Ross, Michael A</creatorcontrib><creatorcontrib>Shaw, Leslee J</creatorcontrib><creatorcontrib>Writing Committee Members</creatorcontrib><title>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</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>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.
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.
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.</description><subject>Algorithms</subject><subject>American Heart Association</subject><subject>Cardiology</subject><subject>Chest Pain - diagnosis</subject><subject>Humans</subject><subject>Research Report</subject><subject>Societies, Medical</subject><subject>United States</subject><issn>1558-3597</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkUtv1DAQxy0EoqXwBTggH7ls4kfieLlZJnRBrai65bxynMnWKydeYgepH5Vvg5eWx2lGM__fPBF6S0lBCRXloTgYawtGGC1IU5CaP0PntK7litfr5vl__hl6FeOBECIkXb9EZ7xqaiFqfo5-nmisNqpUWpdq25Z6027vyq1qr8ut1tnT17f4cnE9eDcBHsKM0z3g9ofxi0kuTNhMPf7ozH4K0UUcBqzvISZ8Y9z0ASt8C8cwp1P8xKkRZmfNhHXwHvbwW2_m3gUf9g_l3_QGTIZUjMG6xzZfgptSxsbRpQQZzDXySFnt8c1sbHIW_g0aX6MXg_ER3jzZC_TtU3unN6urr5eftbpaHSkTaSUHxgUl0DBie2iItUZySToYoBECqBSyA8M6yireVExyxrqK8KoHyfMNB36B3j_WPc7h-5IX340uWvDeTBCWuGP1WhBKK8qy9N2TdOlG6HfH2Y1mftj9eQf_BXK3jDw</recordid><startdate>20211130</startdate><enddate>20211130</enddate><creator>Gulati, Martha</creator><creator>Levy, Phillip D</creator><creator>Mukherjee, Debabrata</creator><creator>Amsterdam, Ezra</creator><creator>Bhatt, Deepak L</creator><creator>Birtcher, Kim K</creator><creator>Blankstein, Ron</creator><creator>Boyd, Jack</creator><creator>Bullock-Palmer, Renee P</creator><creator>Conejo, Theresa</creator><creator>Diercks, Deborah B</creator><creator>Gentile, Federico</creator><creator>Greenwood, John P</creator><creator>Hess, Erik P</creator><creator>Hollenberg, Steven M</creator><creator>Jaber, Wael A</creator><creator>Jneid, Hani</creator><creator>Joglar, José A</creator><creator>Morrow, David A</creator><creator>O'Connor, Robert E</creator><creator>Ross, Michael A</creator><creator>Shaw, Leslee J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20211130</creationdate><title>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</title><author>Gulati, Martha ; 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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.</abstract><cop>United States</cop><pmid>34756653</pmid><doi>10.1016/j.jacc.2021.07.053</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1558-3597 |
| ispartof | Journal of the American College of Cardiology, 2021-11, Vol.78 (22), p.e187 |
| issn | 1558-3597 1558-3597 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Algorithms American Heart Association Cardiology Chest Pain - diagnosis Humans Research Report Societies, Medical United States |
| title | 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 |
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