Chest pain evaluation

chest-pain · society: AHA/ACC

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Summary

Multisociety guideline on evaluation and diagnosis of acute and stable chest pain in adults, emphasizing structured risk stratification, high-sensitivity cardiac troponin (hs-cTn), clinical decision pathways, and selective use of anatomic (CCTA) versus functional (stress) testing. Key shifts include preferring hs-cTn over conventional troponin/CK-MB, abandoning the term “atypical” chest pain in favor of “cardiac/possible cardiac/noncardiac,” routine use of CDPs in the ED, deferring testing in low-risk patients, and incorporating shared decision-making and cost-value considerations.

Current guideline: 2021 AHA/ACC Chest Pain Guideline · download Anki sub-deck

Versions

• 2021 · AHA/ACC — 2021 AHA/ACC Chest Pain Guideline
  • Read the guideline: html · Anki deck

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Table of contents

• 2021 · AHA/ACC