Chest Pain

The American College of Cardiology Solution Set Oversight Committee has issued an expert consensus decision pathway for the diagnosis and acute chest pain in the ED.

Sex-specific differences in the performance of noninvasive testing for ischemic heart disease necessitate a sex-based diagnostic workup with a multimodality approach to better understand women’s chest pain symptoms, researchers reported.

Among veterans who underwent post-elective PCI stress testing before the guideline-recommended 2 years due to chest pain, most had symptoms consistent with obstructive CAD, according to data published in JAMA Network Open.

Hispanic adults presenting with chest pain may experience up to a 28-minute delay in triage and disposition from the ED when compared with patients from other backgrounds, possibly due to undocumented status, researchers reported.

Young women and people of color with chest pain waited longer to be seen by physicians independent of clinical features, whereas women were independently less likely to be admitted when presenting with chest pain, researchers reported.

The prevalence of acute myocarditis was low in hospitalized patients with COVID-19 during the first 14 months of the pandemic, researchers reported in Circulation.

WASHINGTON — A “voice biomarker” may be able to predict which patients have CAD or develop chest pain or ACS, according to findings presented at the American College of Cardiology Scientific Session.

CVD has been the leading cause of death among Americans for the past decade, CDC data indicate, and this trend will likely continue amid the COVID-19 pandemic, experts said.

In adults with non-STEMI, those presenting with shortness of breath or fatigue were more likely to die or be readmitted for CV complications at 1 year compared with those presenting with chest pain, researchers reported.

In patients with stable chest pain and intermediate pretest probability of CAD, risk for major adverse CV events was similar after CT or invasive coronary angiography, with fewer procedure-related complications with an initial CT strategy.