Key result
Review examines the risk-benefit balance of noninvasive cardiac testing in low-risk ED chest pain.
Why the study?
Do the benefits of noninvasive cardiac testing in emergency department patients with low-risk chest pain outweigh the risks?
Do the benefits of noninvasive cardiac testing in emergency department patients with low-risk chest pain outweigh the risks?
This review evaluates whether the benefits of noninvasive cardiac testing outweigh the risks in low-risk emergency department patients with chest pain.
May warrant avoiding routine testing in low-risk ED chest pain; leaves open RCTs to quantify net benefit.
Patients who present to the emergency department with chest pain but no evidence of ischemia on the electrocardiogram and negative cardiac markers are at very low risk. The newest American Heart Association/American College of Cardiology guidelines give noninvasive cardiac testing a IIa recommendation in this patient population. Here, we will review the existing literature that was cited in the American Heart Association/American College of Cardiology document, as well as several large, contemporary, comparative observational studies which were not included to address the following question: Do the benefits of noninvasive cardiac testing in this patient population outweigh the risks?
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Foy et al. (2015) conducted a review in Low-risk chest pain. Noninvasive cardiac testing was evaluated. This review evaluates whether the benefits of noninvasive cardiac testing outweigh the risks in emergency department patients with low-risk chest pain.
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