191: Low-Risk Young Adult Patients With Chest Pain May Not Benefit From Routine Cardiac Stress Testing: A Bayesian Analysis

Abstract

Low risk emergency department chest pain patients with a non-diagnostic ECG and negative cardiac biomarkers are commonly evaluated with cardiac stress testing to detect undiagnosed coronary artery disease. Provocative testing incurs certain costs and may require additional time investment either in the emergency department or in an observation setting. Recent research has questioned the utility of provocative testing in young adults with negative cardiac biomarkers and non-diagnostic EKG. We sought to evaluate the utility of cardiac stress testing in our population of young adult patients with chest pain.