Choosing Wisely:

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.
Sponsoring Organizations:
  • American Academy of Family Physicians
  • American College of Physicians
  • Sources:
  • U.S. Preventive Services Task Force
  • Disciplines:
  • Cardiovascular
  • Preventive Medicine
  • References: • U.S. Preventive Services Task Force. Screening for coronary heart disease with electrocardiography.

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