American Academy of Family Physicians

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Annual EKGs for Low-risk Patients

Don't order annual electrocardiograms (EKGs) or any other cardiac screening for low-risk patients without symptoms.

There is little evidence that detection of coronary artery stenosis in asymptomatic patients at low-risk for coronary heart disease improves health outcomes.

False-positive tests are likely to lead to harm through unnecessary invasive procedures, over-treatment, and misdiagnosis.

Potential harms of this routine annual screening exceed the potential benefit.

Sources: US Preventive Services Task Force (USPSTF)
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Choosing Wisely
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