Chest pain symptoms do not reliably predict ischemia on stress testing

In the large retrospective cohort of patients with no known history of CAD, who were admitted to an ED-based chest pain unit, myocardial ischemia was found on stress testing in 14% of those with “typical” chest pain, 11% of those with “atypical” chest pain, and 16% of those with no chest pain (typical chest pain was substernal, exacerbated by exertion or stress, and relieved by rest or NTG). Presence or quality of chest pain symptoms unfortunately do not reliably predict myocardial ischemia (abstract)

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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