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(/* ACC / AHA Guidelines- Chest X-Ray (DO NOT EDIT)Gibbons RJ, Chatterjee K, Daley J, Douglas JS, Fihn SD, Gardin JM et al. (1999) ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: executive summary and recommen...)
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Routine chest x-ray examination is important in the evaluation of patients with signs or symptoms of [[congestive heart failure]] <ref name="pmid1825901">Chakko S, Woska D, Martinez H, de Marchena E, Futterman L, Kessler KM et al. (1991) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=1825901 Clinical, radiographic, and hemodynamic correlations in chronic congestive heart failure: conflicting results may lead to inappropriate care.] ''Am J Med'' 90 (3):353-9. PMID: [http://pubmed.gov/1825901 1825901]</ref>, valvular heart disease, pericardial disease, or [[aortic dissection]]/[[aortic aneurysm|aneurysm]]. The presentation of cardiomegaly, characterized by  pulmonary congestion on a chest x-ray, is indicative of a poor prognosis for the patient.<ref name="pmid9651709">Hemingway H, Shipley M, Christie D, Marmot M (1998) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=9651709 Cardiothoracic ratio and relative heart volume as predictors of coronary heart disease mortality. The Whitehall study 25 year follow-up.] ''Eur Heart J'' 19 (6):859-69. PMID: [http://pubmed.gov/9651709 9651709]</ref>
Routine chest x-ray examination is important in the evaluation of patients with signs or symptoms of [[congestive heart failure]] <ref name="pmid1825901">Chakko S, Woska D, Martinez H, de Marchena E, Futterman L, Kessler KM et al. (1991) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=1825901 Clinical, radiographic, and hemodynamic correlations in chronic congestive heart failure: conflicting results may lead to inappropriate care.] ''Am J Med'' 90 (3):353-9. PMID: [http://pubmed.gov/1825901 1825901]</ref>, valvular heart disease, pericardial disease, or [[aortic dissection]]/[[aortic aneurysm|aneurysm]]. The presentation of cardiomegaly, characterized by  pulmonary congestion on a chest x-ray, is indicative of a poor prognosis for the patient.<ref name="pmid9651709">Hemingway H, Shipley M, Christie D, Marmot M (1998) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=9651709 Cardiothoracic ratio and relative heart volume as predictors of coronary heart disease mortality. The Whitehall study 25 year follow-up.] ''Eur Heart J'' 19 (6):859-69. PMID: [http://pubmed.gov/9651709 9651709]</ref>


==ACC / AHA Guidelines- Chest X-Ray (DO NOT EDIT)<ref name="pmid10351980">Gibbons RJ, Chatterjee K, Daley J, Douglas JS, Fihn SD, Gardin JM et al. (1999) [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=10351980 ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: executive summary and recommendations. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients with Chronic Stable Angina).] ''Circulation'' 99 (21):2829-48. PMID: [http://pubmed.gov/10351980 10351980]</ref>==
==
{{cquote|
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]===
'''1.''' [[Chest x-ray]] in patients with signs or symptoms of [[congestive heart failure]], [[valvular heart disease]], [[pericardial disease]], or [[aortic dissection]]/[[aortic aneurysm|aneurysm]]. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''


===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]===
ACC/AHA/ACP–ASIM Guidelines for the Management of Patients With Chronic Stable Angina==
'''1.''' [[Chest x-ray]] in patients with signs or symptoms of [[pulmonary disease]]. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''
{|class="wikitable"
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| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]


===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]]===
|-
'''1.''' [[Chest x-ray]] in other patients. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''}}
| bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' [[Chest x-ray]] in patients with signs or symptoms of [[congestive heart failure]], [[valvular heart disease]], [[pericardial disease]], or [[aortic dissection]]/[[aortic aneurysm|aneurysm]]. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki>
|}
 
{|class="wikitable"
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]
 
|-
| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' [[Chest x-ray]] in patients with signs or symptoms of [[pulmonary disease]]. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''<nowiki>"</nowiki>
|}
 
{|class="wikitable"
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]]
 
|-
| bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' [[Chest x-ray]] in other patients. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki>
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==ESC Guidelines- Chest X-Ray for initial diagnostic assessment of angina (DO NOT EDIT) <ref name="pmid16735367">{{cite journal| author=Fox K, Garcia MA, Ardissino D, Buszman P, Camici PG, Crea F et al.| title=Guidelines on the management of stable angina pectoris: executive summary: The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology. | journal=Eur Heart J | year= 2006 | volume= 27 | issue= 11 | pages= 1341-81 | pmid=16735367 | doi=10.1093/eurheartj/ehl001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16735367  }} </ref>==
==ESC Guidelines- Chest X-Ray for initial diagnostic assessment of angina (DO NOT EDIT) <ref name="pmid16735367">{{cite journal| author=Fox K, Garcia MA, Ardissino D, Buszman P, Camici PG, Crea F et al.| title=Guidelines on the management of stable angina pectoris: executive summary: The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology. | journal=Eur Heart J | year= 2006 | volume= 27 | issue= 11 | pages= 1341-81 | pmid=16735367 | doi=10.1093/eurheartj/ehl001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16735367  }} </ref>==

Revision as of 15:05, 23 November 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [4] Phone:617-632-7753; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [5]; Smita Kohli, M.D.; Lakshmi Gopalakrishnan, M.B.B.S.

Overview

Routine chest x-ray examination is important in the evaluation of patients with signs or symptoms of congestive heart failure [1], valvular heart disease, pericardial disease, or aortic dissection/aneurysm. The presentation of cardiomegaly, characterized by pulmonary congestion on a chest x-ray, is indicative of a poor prognosis for the patient.[2]

==

ACC/AHA/ACP–ASIM Guidelines for the Management of Patients With Chronic Stable Angina==

Class I
"1. Chest x-ray in patients with signs or symptoms of congestive heart failure, valvular heart disease, pericardial disease, or aortic dissection/aneurysm. (Level of Evidence: B)"
Class IIa
"1. Chest x-ray in patients with signs or symptoms of pulmonary disease. (Level of Evidence: B)"
Class IIb
"1. Chest x-ray in other patients. (Level of Evidence: C)"

ESC Guidelines- Chest X-Ray for initial diagnostic assessment of angina (DO NOT EDIT) [3]

“

Class I

1. CXR in patients with suspected heart failure. (Level of Evidence: C)

2. CXR in patients with clinical evidence of significant pulmonary disease. (Level of Evidence: B)

”

Vote on and Suggest Revisions to the Current Guidelines

Guidelines Resources

  • The ACC/AHA/ACP–ASIM Guidelines for the Management of Patients With Chronic Stable Angina [4]
  • Guidelines on the management of stable angina pectoris: The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology [3]
  • The ACC/AHA 2002 Guideline Update for the Management of Patients With Chronic Stable Angina [5]
  • The 2007 Chronic Angina Focused Update of the ACC/AHA 2002 Guidelines for the Management of Patients With Chronic Stable Angina [6]

References

  1. ↑ Chakko S, Woska D, Martinez H, de Marchena E, Futterman L, Kessler KM et al. (1991) Clinical, radiographic, and hemodynamic correlations in chronic congestive heart failure: conflicting results may lead to inappropriate care. Am J Med 90 (3):353-9. PMID: 1825901
  2. ↑ Hemingway H, Shipley M, Christie D, Marmot M (1998) Cardiothoracic ratio and relative heart volume as predictors of coronary heart disease mortality. The Whitehall study 25 year follow-up. Eur Heart J 19 (6):859-69. PMID: 9651709
  3. ↑ 3.0 3.1 Fox K, Garcia MA, Ardissino D, Buszman P, Camici PG, Crea F; et al. (2006). "Guidelines on the management of stable angina pectoris: executive summary: The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology". Eur Heart J. 27 (11): 1341–81. doi:10.1093/eurheartj/ehl001. PMID 16735367.
  4. ↑ Gibbons RJ, Chatterjee K, Daley J, Douglas JS, Fihn SD, Gardin JM et al. (1999) ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: executive summary and recommendations. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients with Chronic Stable Angina). Circulation 99 (21):2829-48. [1] PMID: 10351980
  5. ↑ Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS et al. (2003) ACC/AHA 2002 guideline update for the management of patients with chronic stable angina--summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). Circulation 107 (1):149-58.[2] PMID: 12515758
  6. ↑ Fraker TD, Fihn SD, Gibbons RJ, Abrams J, Chatterjee K, Daley J et al. (2007)2007 chronic angina focused update of the ACC/AHA 2002 Guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 Guidelines for the management of patients with chronic stable angina. Circulation 116 (23):2762-72.[3] PMID: 17998462

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