Asymptomatic, low risk adults should not be screened for coronary heart disease, says US guidance

BMJ 2015; 350 doi: (Published 23 March 2015) Cite this as: BMJ 2015;350:h1607
  1. Michael McCarthy
  1. 1Seattle

Adults without symptoms and who are at low risk of developing coronary artery disease should not be screened for heart disease with resting or stress electrocardiography, stress echocardiography, or stress myocardial perfusion imaging, says new guidance from the American College of Physicians.1

“Cardiac screening in adults at low risk for coronary heart disease is low value care because it does not improve patient outcomes and it can lead to potential harms,” David Fleming, the college’s president, said in a statement released with the guidelines. “Physicians should instead focus on strategies for improving cardiovascular health by treating modifiable risk factors such as smoking, diabetes, hypertension, high cholesterol, and obesity and encouraging healthy levels of …

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