Chest Pain Guidelines

The first comprehensive guideline for the evaluation of chest pain was published in October 2021 by the American Heart Association (AHA) and the American College of Cardiology (ACC) and received the endorsement of most of the other U.S. subspecialty cardiology societies. The new guideline recommends medical professionals use standardized risk assessments, clinical pathways and tools to evaluate and communicate with people experiencing chest pain. While the guideline covers the role of all types of tests and imaging, the new guidelines elevated the frontline use of coronary computed tomography angiography (CCTA) and FFR-CT in specific patients. This inclusion has caused a large amount of interest in expanding cardiac CT programs.

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Leslee Shaw, PhD, and former presidents of both SCCT and ASNC discusses the role of CT and FFR-CT in the 2021 chest pain guidelines.

VIDEO: Cardiac CT now recommended as a front-line chest pain assessment tool

Leslee Shaw, PhD, director of the Blavatnik Family Women’s Health Research Institute at Mount Sinai Hospital in New York and former president of the Society of Cardiovascular Computed Tomography (SCCT) and the American Society of Nuclear Cardiology (ASNC), explains the role of cardiac computed tomography (CT) in the recent 2021 chest pain guidelines.

A cardiac CT scan being performed on a Cardiograph dedicated cardiac CT scanner at a Duly Health and Care outpatient clinic. Photo by Dave Fornell

VIDEO: Office-based cardiac CT and FFR-CT offer a new business model

In a new video, Evans Pap­pas, MD, and Sujith Kalathiveetil, MD, both of Duly Health and Care in suburban Chicago, explain the shift toward office-based cardiac CT evaluations and the role of FFR-CT. 

chest pain lung pulmonary embolism

Imaging group says new guidelines for chest pain contain some ‘troubling recommendations’

The update is meant to help clinicians improve outcomes while reducing costs, but one advocate says certain imaging suggestions may cause unanticipated harm.

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American Society of Nuclear Cardiology says AHA/ACC chest pain guidelines miss the mark

One of the group's primary concerns is the "inappropriately large role" given to FFR-CT. 

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‘A watershed moment’: HeartFlow praises new chest pain guidelines

The company showed its support for the guidelines in a new statement. 

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ACC, AHA release long-awaited chest pain guidelines

The new guidelines stress the importance of more complete chest pain evaluations, patient communication and shared decision-making.

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