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2021 Chest Pain Guidelines

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6 1.4.2. Defining Chest Pain COR LOE Recommendations 1 B-NR 1. An initial assessment of chest pain is recommended to triage patients effectively on the basis of the likelihood that symptoms may be attributable to myocardial ischemia. 1 C-LD 2. Chest pain should not be described as atypical, because it is not helpful in determining the cause and can be misinterpreted as benign in nature. Instead, chest pain should be described as cardiac, possibly cardiac, or noncardiac because these terms are more specific to the potential underlying diagnosis. 2. Initial Evaluation 2.1 Recommendation for History COR LOE Recommendation 1 C-LD 1. In patients with chest pain, a focused history that includes characteristics and duration of symptoms relative to presentation as well as associated features, and cardiovascular risk factor assessment should be obtained. Treatment

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