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 - PubMed (original) (raw)
Practice Guideline
. 2021 Nov 30;78(22):e187-e285.
doi: 10.1016/j.jacc.2021.07.053. Epub 2021 Oct 28.
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
- PMID: 34756653
- DOI: 10.1016/j.jacc.2021.07.053
Practice Guideline
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
Writing Committee Members et al. J Am Coll Cardiol. 2021.
Erratum in
- Correction.
[No authors listed] [No authors listed] J Am Coll Cardiol. 2024 Oct 29;84(18):1771. doi: 10.1016/j.jacc.2024.09.024. J Am Coll Cardiol. 2024. PMID: 39443020 No abstract available.
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: ACC/AHA Clinical Practice Guidelines; 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.
Copyright © 2021 by the American Heart Association, Inc., and the American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Similar articles
- 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Writing Committee Members; Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ. Writing Committee Members, et al. J Am Coll Cardiol. 2021 Nov 30;78(22):2218-2261. doi: 10.1016/j.jacc.2021.07.052. Epub 2021 Oct 28. J Am Coll Cardiol. 2021. PMID: 34756652 - 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.
Writing Committee Members; Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ. Writing Committee Members, et al. J Cardiovasc Comput Tomogr. 2022 Jan-Feb;16(1):54-122. doi: 10.1016/j.jcct.2021.11.009. Epub 2021 Dec 1. J Cardiovasc Comput Tomogr. 2022. PMID: 34955448 - 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.
Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ. Gulati M, et al. Circulation. 2021 Nov 30;144(22):e368-e454. doi: 10.1161/CIR.0000000000001029. Epub 2021 Oct 28. Circulation. 2021. PMID: 34709879 Review. - 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ. Gulati M, et al. Circulation. 2021 Nov 30;144(22):e368-e454. doi: 10.1161/CIR.0000000000001030. Epub 2021 Oct 28. Circulation. 2021. PMID: 34709928 Review. - 2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Writing Committee Members; Thompson A, Fleischmann KE, Smilowitz NR, de Las Fuentes L, Mukherjee D, Aggarwal NR, Ahmad FS, Allen RB, Altin SE, Auerbach A, Berger JS, Chow B, Dakik HA, Eisenstein EL, Gerhard-Herman M, Ghadimi K, Kachulis B, Leclerc J, Lee CS, Macaulay TE, Mates G, Merli GJ, Parwani P, Poole JE, Rich MW, Ruetzler K, Stain SC, Sweitzer B, Talbot AW, Vallabhajosyula S, Whittle J, Williams KA Sr. Writing Committee Members, et al. J Am Coll Cardiol. 2024 Nov 5;84(19):1869-1969. doi: 10.1016/j.jacc.2024.06.013. Epub 2024 Sep 24. J Am Coll Cardiol. 2024. PMID: 39320289
Cited by
- Call to action for acute myocardial infarction in women: international multi-disciplinary practical roadmap.
Manzo-Silberman S, Hawranek M, Banerjee S, Kaluzna-Oleksy M, Alasnag M, Paradies V, Parapid B, Sabouret P, Wolczenko A, Kunadian V, Uchmanowicz I, Nizard J, Gilard M, Mehran R, Chieffo A. Manzo-Silberman S, et al. Eur Heart J Open. 2024 Oct 12;4(6):oeae087. doi: 10.1093/ehjopen/oeae087. eCollection 2024 Nov. Eur Heart J Open. 2024. PMID: 39507804 Free PMC article. Review. - A patient-centric chest pain management approach utilizing a high sensitivity Troponin-I assay.
Roetger AE, McKinney CD, Winter Iii B, Lewis C, Swiger K, Corbett CM, Hall G, David A, Gratton A. Roetger AE, et al. Heliyon. 2024 Sep 28;10(20):e38164. doi: 10.1016/j.heliyon.2024.e38164. eCollection 2024 Oct 30. Heliyon. 2024. PMID: 39498071 Free PMC article. - Necrotizing fasciitis resembled acute coronary syndrome: A case report.
Sepehrinia M, Yousefi F, Valibeygi A, Alkamel A. Sepehrinia M, et al. Clin Case Rep. 2024 Oct 31;12(11):e9513. doi: 10.1002/ccr3.9513. eCollection 2024 Nov. Clin Case Rep. 2024. PMID: 39493788 Free PMC article. - High-Sensitivity Troponin: Finding a Meaningful Delta.
Wright CX, Wright DS, Hu JR, Gallegos C. Wright CX, et al. J Cardiovasc Dev Dis. 2024 Oct 11;11(10):318. doi: 10.3390/jcdd11100318. J Cardiovasc Dev Dis. 2024. PMID: 39452288 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous