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Newman RJ – Coronary artery disease (CAD) is the leading cause of death in the United States for both men and women. Chest pain is a common complaint in primary care and may be the presenting symptom of CAD. Exercise stress testing (EST) is helpful in evaluating chest pain in selected patients and is a cost–effective strategy for triaging patients with chest pain in the primary care setting. Consideration should be given to adding this capability to the patient–centered medical home.

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