Society guideline links: Adult with chest pain in the emergency department

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately:

●(See "Society guideline links: Non-ST-elevation acute coronary syndromes (non-ST-elevation myocardial infarction)".)

●(See "Society guideline links: ST-elevation myocardial infarction (STEMI)".)

●(See "Society guideline links: Chronic coronary syndrome".)

●(See "Society guideline links: Superficial vein thrombosis, deep vein thrombosis, and pulmonary embolism".)

●(See "Society guideline links: Aortic dissection and other acute aortic syndromes".)

●(See "Society guideline links: Pneumothorax".)

●(See "Society guideline links: Pericardial disease".)

●(See "Society guideline links: Dyspnea".)

●(See "Society guideline links: Community-acquired pneumonia in adults".)

●(See "Society guideline links: Deep sternal wound infection".)

Canada

●Choosing Wisely Canada: Don't order CT pulmonary angiograms or VQ scans in patients with suspected pulmonary embolism until risk stratification with decision rule has been applied and when indicated, D-dimer biomarker results are obtained (updated 2021)

United States

●American College of Emergency Physicians (ACEP): EQUAL chest pain – Toolkits: Policies & guidelines

●Society of Cardiovascular Computed Tomography (SCCT): Expert consensus document for the use of coronary computed tomographic angiography for patients presenting with acute chest pain to the emergency department, 2022 (published 2023)

●American College of Cardiology (ACC): Expert consensus decision pathway on the evaluation and disposition of acute chest pain in the emergency department (2022)

●American Heart Association (AHA)/ACC/American Society of Echocardiography (ASE)/American College of Chest Physicians (CHEST)/Society for Academic Emergency Medicine (SAEM)/SCCT/Society for Cardiovascular Magnetic Resonance (SCMR): Guideline for the evaluation and diagnosis of chest pain (2021)

●SAEM: Guidelines for reasonable and appropriate care in the emergency department (GRACE) – Recurrent, low-risk chest pain in the emergency department (2021)

●American Academy of Emergency Medicine (AAEM): Clinical practice statement on telemetry bed usage for patients with low-risk chest pain (2011, updated 2020)

●American College of Radiology (ACR): ACR Appropriateness Criteria on acute nonspecific chest pain – Low probability of coronary artery disease (revised 2020)

●ACR: ACR Appropriateness Criteria on chest pain – Possible acute coronary syndrome (revised 2019)

Europe

●European Society of Cardiology (ESC): Position paper for the pre-hospital management of patients with chest pain and/or dyspnoea of cardiac origin (2020)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Clinical guideline on recent-onset chest pain of suspected cardiac origin – Assessment and diagnosis (2010, updated 2016)