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| 38 Double Outlet Right Ventricle with ASD, VSD, bicuspid aortic (Photo credit: HeartBabyHome) |
Description:
Update of the 2004 U.S. Preventive Services Task
Force (USPSTF) recommendation statement on screening for coro-
nary heart disease (CHD).
Methods:
The USPSTF reviewed new evidence on the benefits of
screening with electrocardiography (ECG) in asymptomatic adults to
reduce the risk for CHD events versus not screening, the effect of
identifying high-risk persons on treatment to reduce risk, the accu-
racy of stratifying individuals into risk categories, and the harms of
screening.
Recommendations:
The USPSTF recommends against screening
with resting or exercise ECG for the prediction of CHD events
in asymptomatic adults at low risk for CHD events (D
recommendation).
The USPSTF concludes that the current evidence is insufficient to
assess the balance of benefits and harms of screening with resting
or exercise ECG for the prediction of CHD events in asymptomatic
adults at intermediate or high risk for CHD events (I statement).
Ann Intern Med.
2012;157:512-518.
www.annals.org
For author affiliation, see end of text.
* For a list of the members of the USPSTF, see the
Appendix
(available at
www.annals.org).
This article was published at www.annals.org on 31 July 2012.
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