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 Haddad; John Mancini; Katie Doucet; Jean Sebastien Daigle; Amir Ahmadi; Jonathan Leipsic; Siok Ping Lim; Andrew McRae; Annie Y. Chou

doi:10.1016/j.cjco.2023.09.001

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 journal › Review article › peer-review

2 Scopus citations

Abstract

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 (www.chowmd.ca/cadtesting) that could be adopted widely into clinical practice.

Original language	English
Pages (from-to)	891-903
Number of pages	13
Journal	CJC Open
Volume	5
Issue number	12
DOIs	https://doi.org/10.1016/j.cjco.2023.09.001
State	Published - Dec 2023

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Chow, B. J. W., Galiwango, P., Poulin, A., Raggi, P., Small, G., Juneau, D., Kazmi, M., Ayach, B., Beanlands, R. S., Sanfilippo, A. J., Chow, C. M., Paterson, D. I., Chetrit, M., Jassal, D. S., Connelly, K., Larose, E., Bishop, H., Kass, M., Anderson, T. J., ... Chou, A. Y. (2023). Chest Pain Evaluation: Diagnostic Testing. CJC Open, 5(12), 891-903. https://doi.org/10.1016/j.cjco.2023.09.001

@article{59b74559bd4c48ae81c99ef8a9527f19,

title = "Chest Pain Evaluation: Diagnostic Testing",

abstract = "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 (www.chowmd.ca/cadtesting) that could be adopted widely into clinical practice.",

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

note = "Publisher Copyright: {\textcopyright} 2023 The Authors",

year = "2023",

month = dec,

doi = "10.1016/j.cjco.2023.09.001",

language = "English",

volume = "5",

pages = "891--903",

journal = "CJC Open",

issn = "2589-790X",

publisher = "Elsevier Inc.",

number = "12",

}

Chow, BJW, Galiwango, P, Poulin, A, Raggi, P, Small, G, Juneau, D, Kazmi, M, Ayach, B, Beanlands, RS, Sanfilippo, AJ, Chow, CM, Paterson, DI, Chetrit, M, Jassal, DS, Connelly, K, Larose, E, Bishop, H, Kass, M, Anderson, TJ, Haddad, H, Mancini, J, Doucet, K, Daigle, JS, Ahmadi, A, Leipsic, J, Lim, SP, McRae, A & Chou, AY 2023, 'Chest Pain Evaluation: Diagnostic Testing', CJC Open, vol. 5, no. 12, pp. 891-903. https://doi.org/10.1016/j.cjco.2023.09.001

TY - JOUR

T1 - Chest Pain Evaluation

T2 - Diagnostic Testing

AU - Chow, Benjamin J.W.

AU - Galiwango, Paul

AU - Poulin, Anthony

AU - Raggi, Paolo

AU - Small, Gary

AU - Juneau, Daniel

AU - Kazmi, Mustapha

AU - Ayach, Bilal

AU - Beanlands, Rob S.

AU - Sanfilippo, Anthony J.

AU - Chow, Chi Ming

AU - Paterson, D. Ian

AU - Chetrit, Michael

AU - Jassal, Davinder S.

AU - Connelly, Kim

AU - Larose, Eric

AU - Bishop, Helen

AU - Kass, Malek

AU - Anderson, Todd J.

AU - Haddad, Haissam

AU - Mancini, John

AU - Doucet, Katie

AU - Daigle, Jean Sebastien

AU - Ahmadi, Amir

AU - Leipsic, Jonathan

AU - Lim, Siok Ping

AU - McRae, Andrew

AU - Chou, Annie Y.

PY - 2023/12

Y1 - 2023/12

N2 - 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 (www.chowmd.ca/cadtesting) that could be adopted widely into clinical practice.

AB - 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 (www.chowmd.ca/cadtesting) that could be adopted widely into clinical practice.

UR - http://www.scopus.com/inward/record.url?scp=85178124084&partnerID=8YFLogxK

U2 - 10.1016/j.cjco.2023.09.001

DO - 10.1016/j.cjco.2023.09.001

M3 - Review article

AN - SCOPUS:85178124084

SN - 2589-790X

VL - 5

SP - 891

EP - 903

JO - CJC Open

JF - CJC Open

IS - 12

ER -

Chest Pain Evaluation: Diagnostic Testing

Abstract

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