Literature DB >> 34709879

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, Ezra Amsterdam, Deepak L Bhatt, Kim K Birtcher, Ron Blankstein, Jack Boyd, Renee 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.   

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.

Entities:  

Keywords:  AHA Scientific Statements; accelerated diagnostic pathway; acute coronary syndrome; angina; biomarkers; cardiac imaging; chest pain; chest pain syndromes; clinical decision pathway; coronary artery disease; myocardial infarction; myocardial injury; myocardial ischemia; noncardiac; noncardiac chest pain; sex differences; shared decision-making; troponins

Mesh:

Year:  2021        PMID: 34709879     DOI: 10.1161/CIR.0000000000001029

Source DB:  PubMed          Journal:  Circulation        ISSN: 0009-7322            Impact factor:   29.690


  25 in total

1.  Rapid Exclusion of Acute Myocardial Injury and Infarction With a Single High-Sensitivity Cardiac Troponin T in the Emergency Department: A Multicenter United States Evaluation.

Authors:  Yader Sandoval; Bradley R Lewis; Ramila A Mehta; Olatunde Ola; Jonathan D Knott; Laura De Michieli; Ashok Akula; Ronstan Lobo; Eric H Yang; S Michael Gharacholou; Marshall Dworak; Erika Crockford; Nicholas Rastas; Eric Grube; Swetha Karturi; Scott Wohlrab; David O Hodge; Tahir Tak; Charles Cagin; Rajiv Gulati; Allan S Jaffe
Journal:  Circulation       Date:  2022-05-10       Impact factor: 39.918

Review 2.  Highlights of the Virtual Society for Cardiovascular Magnetic Resonance 2022 Scientific Conference: CMR: improving cardiovascular care around the world.

Authors:  Vineeta Ojha; Omar K Khalique; Rishabh Khurana; Daniel Lorenzatti; Steve W Leung; Benny Lawton; Timothy C Slesnick; Joao C Cavalcante; Chiara-Bucciarelli Ducci; Amit R Patel; Claudia C Prieto; Sven Plein; Subha V Raman; Michael Salerno; Purvi Parwani
Journal:  J Cardiovasc Magn Reson       Date:  2022-06-20       Impact factor: 6.903

Review 3.  The Canadian Women's Heart Health Alliance Atlas on the Epidemiology, Diagnosis, and Management of Cardiovascular Disease in Women - Chapter 6: Sex- and Gender-Specific Diagnosis and Treatment.

Authors:  Monica Parry; Harriette G C Van Spall; Kerri-Anne Mullen; Sharon L Mulvagh; Christine Pacheco; Tracey J F Colella; Marie-Annick Clavel; Shahin Jaffer; Heather J A Foulds; Jasmine Grewal; Marsha Hardy; Jennifer A D Price; Anna L E Levinsson; Christine A Gonsalves; Colleen M Norris
Journal:  CJC Open       Date:  2022-04-19

4.  Preventive cardiology advances in the 2021 AHA/ACC chest pain guideline.

Authors:  Rhanderson Cardoso; Leslee J Shaw; Roger S Blumenthal; Khurram Nasir; Richard Ferraro; David J Maron; Michael J Blaha; Martha Gulati; Deepak L Bhatt; Ron Blankstein
Journal:  Am J Prev Cardiol       Date:  2022-06-30

5.  [Preface for Special Issue on Clinical Application of Cardiac CT: For Excluding Ischemic Heart Disease].

Authors:  Jongmin Lee
Journal:  Taehan Yongsang Uihakhoe Chi       Date:  2022-01-21

6.  The prospective randomized trial of the optimal evaluation of cardiac symptoms and revascularization: Rationale and design of the PRECISE trial.

Authors:  Michael G Nanna; Sreekanth Vemulapalli; Christopher B Fordyce; Daniel B Mark; Manesh R Patel; Hussein R Al-Khalidi; Michelle Kelsey; Beth Martinez; Eric Yow; Sarah Mullen; Gregg W Stone; Ori Ben-Yehuda; James E Udelson; Campbell Rogers; Pamela S Douglas
Journal:  Am Heart J       Date:  2021-12-23       Impact factor: 4.749

Review 7.  Coronary Microvascular Dysfunction in Patients With Systemic Lupus Erythematosus and Chest Pain.

Authors:  Ashley S Manchanda; Alan C Kwan; Mariko Ishimori; Louise E J Thomson; Debiao Li; Daniel S Berman; C Noel Bairey Merz; Caroline Jefferies; Janet Wei
Journal:  Front Cardiovasc Med       Date:  2022-04-15

8.  Change in Computed Tomography-Derived Fractional Flow Reserve Across the Lesion Improve the Diagnostic Performance of Functional Coronary Stenosis.

Authors:  Hankun Yan; Yang Gao; Na Zhao; Wenlei Geng; Zhihui Hou; Yunqiang An; Jie Zhang; Bin Lu
Journal:  Front Cardiovasc Med       Date:  2022-01-13

Review 9.  Society for Cardiovascular Magnetic Resonance perspective on the 2021 AHA/ACC Chest Pain Guidelines.

Authors:  Andrew E Arai; Raymond Y Kwong; Michael Salerno; John P Greenwood; Chiara Bucciarelli-Ducci
Journal:  J Cardiovasc Magn Reson       Date:  2022-01-03       Impact factor: 6.903

10.  Comparison of cardiac CT angiography coronary artery dimensions and ethnicity in Trinidad: the CADET pilot study.

Authors:  Tonya Welch; Fidel Rampersad; Shastri Motilal; Naveen Anand Seecheran
Journal:  Open Heart       Date:  2022-03
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