Diagnosis of stable ischemic heart disease: summary of a clinical practice guideline from the American College of
Amir Qaseem1, Stephan D Fihn, Sankey Williams
1American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106, USA. aqaseem@acponline.org
Annals of Internal Medicine
|November 21, 2012
Summary
This guideline provides recommendations for diagnosing stable ischemic heart disease (SIHD). It covers initial diagnosis, cardiac stress testing, and coronary angiography for risk assessment in patients with SIHD.
Area of Science:
- Cardiology
- Clinical Practice Guidelines
Background:
- Stable ischemic heart disease (SIHD) requires accurate diagnostic approaches.
- Existing guidelines inform clinical decision-making for SIHD.
Purpose of the Study:
- To provide clinicians with evidence-based recommendations for diagnosing SIHD.
- To outline strategies for risk assessment in patients with suspected or known SIHD.
Main Methods:
- A comprehensive literature search was conducted using multiple databases (MEDLINE, Embase, etc.) up to November 2011.
- Searches were limited to human studies published in English.
- Evidence and recommendations were graded using a translated ACCF/AHA grading system.
Main Results:
- The guideline includes 28 recommendations.
- Recommendations address initial diagnosis, risk stratification, and diagnostic testing for SIHD.
Conclusions:
- The guideline offers a framework for the diagnosis of SIHD.
- It emphasizes the importance of cardiac stress testing and coronary angiography for risk assessment in SIHD patients.
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