J Cardiovasc Comput Tomogr. 2022 Jan-Feb;16(1):54-122. doi: 10.1016/j.jcct.2021.11.009. Epub 2021 Dec 1.
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.
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.
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.
本评估和诊断胸痛的临床实践指南为临床医生评估和诊断成年胸痛患者提供了建议和算法。
从 2017 年 11 月 11 日至 2020 年 5 月 1 日，我们进行了全面的文献检索，包括随机和非随机试验、观察性研究、注册研究、综述以及其他在 PubMed、EMBASE、Cochrane 协作组织、医疗保健研究和质量报告机构和其他相关数据库中以英文发表的人体研究证据。还考虑了其他相关研究，这些研究发表于 2021 年 4 月之前。
胸痛是美国急诊科就诊的常见原因。“2021 年 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR 胸痛评估和诊断指南”基于当代胸痛评估和评估的证据提供了建议。本指南提出了一种基于风险分层和诊断性检查的胸痛评估的循证方法。已经考虑了诊断测试中的成本-价值因素，并建议与患者共同决策。
