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[The AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR guidelines 2021 on thoracic pain]

Bernhard Maisch1,2,3

  • 1Medizinische Fakultät, Philipps-Universität, Marburg, Deutschland. bermaisch@gmail.com.

Herz
|January 3, 2022
PubMed

Insights

The 2021 guidelines for thoracic pain emphasize chest pain evaluation, referencing cardiac conditions like myocardial infarction and acute coronary syndrome. They highlight risk stratification and favor cost-effective, noninvasive diagnostic methods.

Area of Science:

  • Cardiology
  • Thoracic Medicine

Background:

  • Chest pain is a critical symptom requiring comprehensive evaluation.
  • Existing guidelines address various cardiac entities and syndromes associated with chest pain.

Purpose of the Study:

  • To provide an updated overview of thoracic pain management based on the 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR guidelines.
  • To detail risk stratification and clinical work-up for chest pain, including angina equivalents like dyspnea.

Main Methods:

  • The guidelines synthesize information from existing recommendations on cardiac diseases (e.g., myocardial infarction, coronary artery disease, pericarditis, aortic dissection) and syndromes (e.g., acute coronary syndrome).
  • A cost-benefit analysis comparing noninvasive and invasive diagnostic methods is a key component.

Main Results:

  • The guidelines differentiate between acute and stable angina pectoris.
  • There is a discernible trend favoring evidence-based, cost-effective noninvasive diagnostic approaches.

Conclusions:

  • The 2021 guidelines offer a structured approach to evaluating thoracic pain.
  • The emphasis is on efficient, cost-effective diagnostic strategies, increasingly leaning towards noninvasive methods.

Keywords:
Angina pectorisAortic dissectionCoronary artery diseasePericarditisPulmonary embolism

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