- Screening with ECG is not necessary in people with low risk and no symptoms of cardiovascular disease (CVD), according to new recommendations from the US Preventive Services Task Force (USPSTF).
- The USPSTF also has found that evidence is lacking to determine risk-benefits of ECG in asymptomatic adults at intermediate or high CVD risk.
Why this matters
- This recommendation updates the task force’s 2012 recommendations about using ECG to screen for coronary heart disease.
- 3 editorials accompany the article, noting limited change from 2012 recommendations and consonance of these recommendations with guidelines from other groups.
- 1 editorial goes so far as to suggest that the USPSTF has “created a straw man that is easy to knock down.”
- A patient page provides an accessible visual and text explanation of the recommendation.
- Recommendation applies to asymptomatic adults without CVD.
- Asymptomatic adults with low CVD risk (10-year CVD event risk,
- ECG does not seem to change risk status using common risk scores.
- Harms are possible with overuse of ECG, including consequences of any invasive testing that might follow.
- For asymptomatic adults with intermediate/high CVD risk, evidence remains insufficient to establish risk-benefit of ECG as part of screening.
- Recommendations are based on an evidence review .