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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 …
Competing interests I chaired the NICE guideline group: Chest pain of recent onset: Assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin. NICE guidelines [CG95] Published date: March 2010. http://www.nice.org.uk
Provenance and peer review Not commissioned; internally peer reviewed.
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