Disclaimer
is pocket guide attempts to define principles of practice that should produce high-quality
patient care. It is applicable to specialists, primary care, and providers at all levels. is
pocket guide should not be considered exclusive of other methods of care reasonably directed at
obtaining the same results. e ultimate judgment concerning the propriety of any course of
conduct must be made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
Source
Gulati M et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for
the Evaluation and Diagnosis of Chest Pain. 2021. doi:10.1016/j.jacc.2021.07.053.
Copublished in Circulation 2021. doi:10.1161/CIR.0000000000001029.
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Abbreviations
ACS, acute coronary syndrome; AMI, acute myocardial infarction; CABG, coronary
artery bypass gra; CAC, coronary artery calcium; CAD, coronary artery disease; CCTA,
coronary computed tomographic angiography; CDP, clinical decision pathway; CMR,
cardiovascular magnetic resonance; cTn, cardiac troponin; ECG, electrocardiogram; ED,
emergency department; EMS, emergency medical services; FFR-CT, fractional flow
reserve with computed tomography; GDMT, guideline-directed medical therapy; hs-cTn,
high-sensitivity cardiac troponin; ICA, invasive coronary angiography; INOCA, ischemia
and nonobstructive coronary artery disease; MACE, major adverse cardiac events; MBFR,
myocardial blood flow reserve; METs, metabolic equivalents; MINOCA, myocardial
infarction and nonobstructive coronary arteries; MPI, myocardial perfusion imaging ;
NSTE-ACS, non–ST-segment–elevation acute coronary syndrome; PCI, percutaneous
coronary intervention; PE, pulmonary embolism; PET, positron emission tomography
; SIHD, stable ischemic heart disease; SPECT, single-photon emission computed
tomography; STEMI, ST-segment–elevation myocardial infarction; TEE, transesophageal
echocardiography; TTE, transthoracic echocardiography; VF, ventricular fibrillation;
VHD, valvular heart disease; VT, ventricular tachycardia
