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Cardiac Testing for Slight Acute Coronary Syndrome Risk Just Means More Procedures

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Routine testing in the emergency department (ED) for patients reporting chest pain and no evidence of ischemia provided no clinical benefits, according to a Stanford University study published on June 26, 2017 in JAMA Internal Medicine. The investigators concluded that cardiovascular testing within 30 days (noninvasive imaging or coronary angiography) was associated with more coronary angiography and revascularization within a year. When investigators adjusted their analysis for higher baseline risk of patients tested, there was no difference in acute myocardial admission compared to those tested. Essentially, the scientists determined that cardiac testing in patients with chest pain was associated with increased later testing and treatment without a reduction in acute myocardial infarctions (MI) admissions. Read more about it at the MedPageToday article.

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