March 4, 2013

Guideline Title

Diagnosis of stable ischemic heart disease: summary of a clinical practice guideline from the American College of Physicians/American College of Cardiology Foundation/American Heart Association/American Association for Thoracic Surgery/Preventive Cardiovascular Nurses Association/Society of Thoracic Surgeons.

Bibliographic Source(s)

Qaseem A, Fihn SD, Williams S, Dallas P, Owens DK, Shekelle P, Clinical Guidelines Committee of the American College of Physicians. Diagnosis of stable ischemic heart disease: summary of a clinical practice guideline from the American College of Physicians/American College of Cardiology Foundation/American Heart Association/American Association for Thoracic Surgery [trunc]. Ann Intern Med 2012 Nov 20;157(10):729-734. [129 references] PubMed External Web Site Policy

Guideline Status

This is the current release of the guideline.

2012 Nov 20;157(10):729-34. doi: 10.7326/0003-4819-157-10-201211200-00010.

Diagnosis of stable ischemic heart disease: summary of a clinical practice guideline from the American College of Physicians/American College of Cardiology Foundation/American Heart Association/American Association for Thoracic Surgery/Preventive Cardiovascular Nurses Association/Society of Thoracic Surgeons.

Qaseem A, Fihn SD, Williams S, Dallas P, Owens DK, Shekelle P; Clinical Guidelines Committee of the American College of Physicians.

Source

American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106, USA. aqaseem@acponline.org

Abstract

DESCRIPTION:

The American College of Physicians (ACP) developed this guideline in collaboration with the American College of Cardiology Foundation (ACCF), American Heart Association (AHA), American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons to help clinicians diagnose known or suspected stable ischemic heart disease.

METHODS:

Literature on this topic published before November 2011 was identified by using MEDLINE, Embase, Cochrane CENTRAL, PsychINFO, AMED, and SCOPUS. Searches were limited to human studies published in English. This guideline grades the evidence and recommendations according to a translation of the ACCF/AHA grading system into ACP's clinical practice guidelines grading system.

RECOMMENDATIONS:

This guideline includes 28 recommendations that address the following issues: the initial diagnosis of the patient who might have stable ischemic heart disease, cardiac stress testing to assess the risk for death or myocardial infarction in patients diagnosed with stable ischemic heart disease, and coronary angiography for risk assessment.