March 17th, 2015
ACP Recommends Against Screening Asymptomatic Adults for Cardiac Disease
The American College of Physicians has recommended that clinicians should not screen low-risk, asymptomatic adults for heart disease.
In guidelines published in the Annals of Internal Medicine, the ACP says that adults with a 10-year risk for coronary heart disease events under 10% should not undergo screening with resting or stress electrocardiography, stress echocardiography, or stress myocardial perfusion imaging. There is no evidence that these tests improve patient outcomes, but they can lead to increased costs and possible harms, such as radiation exposure and unnecessary follow-up tests.
Instead, clinicians should focus on strategies to modify risk factors — such as smoking, diabetes, hypertension, and hyperlipidemia — and encourage physical activity.