Chest Pain Evaluation: Diagnostic Testing

Benjamin J.W. Chow, Paul Galiwango, Anthony Poulin, Paolo Raggi, Gary Small, Daniel Juneau, Mustapha Kazmi, Bilal Ayach, Rob S. Beanlands, Anthony J. Sanfilippo, Chi Ming Chow, D. Ian Paterson, Michael Chetrit, Davinder S. Jassal, Kim Connelly, Eric Larose, Helen Bishop, Malek Kass, Todd J. Anderson, Haissam HaddadJohn Mancini, Katie Doucet, Jean Sebastien Daigle, Amir Ahmadi, Jonathan Leipsic, Siok Ping Lim, Andrew McRae, Annie Y. Chou

Research output: Contribution to journalReview articlepeer-review


Chest pain/discomfort (CP) is a common symptom and can be a diagnostic dilemma for many clinicians. The misdiagnosis of an acute or progressive chronic cardiac etiology may carry a significant risk of morbidity and mortality. This review summarizes the different options and modalities for establishing the diagnosis and severity of coronary artery disease. An effective test selection algorithm should be individually tailored to each patient to maximize diagnostic accuracy in a timely fashion, determine short- and long-term prognosis, and permit implementation of evidence-based treatments in a cost-effective manner. Through collaboration, a decision algorithm was developed ( that could be adopted widely into clinical practice.

Original languageEnglish
Pages (from-to)891-903
Number of pages13
JournalCJC Open
Issue number12
StatePublished - Dec 2023


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