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The paper by Patterson et al1 illustrates why the National Institute of Health and Care Excellence (NICE) and ESC guidelines2 ,3 recommend no non-invasive testing in patients presenting with undifferentiated chest pain in whom a non-cardiac cause is suspected or the probability of coronary artery disease (CAD) is judged to be very low (NICE <10%, ESC <15%). Table 5 shows there were 351 such patients, of whom 24 were subsequently diagnosed with …
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