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Comment & Response
October 2015

Noninvasive Testing in Patients With Chest Pain—Reply

Author Affiliations
  • 1Heart and Vascular Institute, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
  • 2Department of Public Health Sciences, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania
JAMA Intern Med. 2015;175(10):1728-1729. doi:10.1001/jamainternmed.2015.4149

In Reply In our study, we found that noninvasive coronary artery disease (CAD) testing was associated with more downstream testing and revascularizations compared with no testing in emergency department (ED) patients with low-risk chest pain but found no difference in 6-month myocardial infarction (MI) rates.1 In his letter, Dr Hartlage, using several risk models, highlights differences in expected risk in our testing and no-testing groups based on age alone and suggests that noninvasive testing led to therapeutic measures that mitigated risk in our testing cohort.

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