Researchers say provocative cardiac stress testing in emergency department chest pain units leads to only a few patients who meet criteria for revascularization, which raises questions about routine use of the procedure. Dr. Lee Goldman of Columbia University Medical Center suggests in a JAMA Internal Medicine editorial that even patients who do not need revascularization can be treated with "a different threshold for reducing their low-density lipoprotein cholesterol levels or the administration of medications for what now becomes symptomatic ischemic heart disease."

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