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

Martha Gulati , Phillip D. Levy , Debabrata Mukherjee , Martha Gulati , Phillip D. Levy , Debabrata Mukherjee , Ezra A. Amsterdam , Deepak L. Bhatt , Kim K. Birtcher , Ron Blankstein , Jack Boyd , Renée P. Bullock-Palmer , Theresa Conejo , Deborah B. Diercks , Federico Gentile , John P. Greenwood , Erik P. Hess , Steven M. Hollenberg , Wael A. Jaber , Hani Jneid , José A. Joglar , David A. Morrow , Robert E. O’Connor , Michael A. Ross , Leslee J. Shaw
2021 Circulation 1,475 citations

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.

Keywords

MedicineChest painGuidelineEmergency departmentObservational studyIntensive care medicineMEDLINERandomized controlled trialPhysical therapyEmergency medicineInternal medicinePathology

MeSH Terms

AlgorithmsAmerican Heart AssociationChest PainHumansObservational Studies as TopicRandomized Controlled Trials as TopicRegistriesUnited States

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Publication Info

Year
2021
Type
review
Volume
144
Issue
22
Pages
e187-e285
Citations
1475
Access
Closed

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Cite This

Martha Gulati, Phillip D. Levy, Debabrata Mukherjee et al. (2021). 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. Circulation , 144 (22) , e187-e285. https://doi.org/10.1161/cir.0000000000001029

Identifiers

DOI
10.1161/cir.0000000000001029
PMID
34709879

Data Quality

Data completeness: 86%