Summary: For patients with “low-risk” chest pain (ie, patients with chest pain being considered for observation and further cardiac testing, but without ischemic ECG changes, abnormal troponin levels, known coronary artery disease, recent cocaine use, or other exclusion factors),  use by the the treating physician of a decision aid to guide discussion of further testing and management options may lead to improved patient knowledge and patient engagement in decision making, with lower a likelihood of hospital admission and a lower likelihood of subsequent cardiac stress testing, compared to “usual care.”

Strength of Recommendation = B