The 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline provides evidence-based recommendations and algorithms for the risk stratification and diagnostic workup of adult patients with chest pain.
Provides updated 2021 AHA/ACC multi-society clinical practice guidelines for the evaluation and diagnosis of chest pain in adults.
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.
“This standard approach provides clinicians with the guidance to better evaluate patients with chest pain, identify patients who may be having a cardiac emergency and then select the right test or treatment for the right patient.”
Gulati et al. (Thu,) conducted a review in Chest pain. Clinical practice guideline for evaluation and diagnosis was evaluated. The 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline provides evidence-based recommendations and algorithms for the risk stratification and diagnostic workup of adult patients with chest pain.