RM para todos com dor torácica? Não, chamem o médico.

Provider-Directed Imaging Stress Testing Reduces Health-Care Expenditures in Lower-Risk Chest Pain Patients Presenting to the Emergency Department
.
Conclusions—In patients with lower-risk chest pain receiving ED-directed OU care, the ability of a physician to select a cardiac stress imaging modality (including echocardiography, CMR, or radionuclide testing) was more cost effective than a pathway that mandates a CMR stress test. Contrary to prior observations in individuals with intermediate to high-risk chest pain, in those with lower risk chest pain, these results highlight the importance of physician-related choices during ACS diagnostic protocols.
.

.
Mais um estudo demonstra que fazer RM em todos os pacientes não substitui o clínico.
Para o paciente, que é quem importa, a avaliação do médico determina a melhor abordagem na síndrome coronária de baixo risco.
.