Don’t order annual electrocardiography or any other cardiac screening for asymptomatic, low-risk patients.
|Rationale and Comments:||There is little evidence that detection of coronary artery stenosis improves health outcomes in asymptomatic patients at low risk of coronary heart disease. False-positive test results are likely to lead to harm through unnecessary invasive procedures, overtreatment, and misdiagnosis. Potential harms of routine annual screening exceed the potential benefit.|
|References:||• U.S. Preventive Services Task Force. Screening for coronary heart disease with electrocardiography. http://www.uspreventiveservicestaskforce.org/uspstf/uspsacad.htm.|