04/21/26

Defining delayed and missed diagnosis of acute and chronic coronary syndromes: a modified Delphi consensus method.

Van Schalkwijk, Dinah L; Dobbe, Anna S M; Mommersteeg, Paula M C; Erkelens, Daphne Carmen; Zwart, Dorien L M; Meeder, Joan G; Rutten, Frans H; IMPRESS Consortium. Open Heart

Summary

Lack of standardized definitions for delayed and missed coronary artery disease (CAD) diagnosis has limited research on its causes and frequency. This multi-stakeholder consensus project developed a framework and recommended definitions for delayed and missed diagnosis in acute and chronic coronary syndromes, as no single definition was realized. Although not intended as universal definitions, the framework provides a foundation for more consistent research and comparison across diagnostic settings.
Van Schalkwijk DL, Dobbe ASM, Mommersteeg PMC, et al. Defining delayed and missed diagnosis of acute and chronic coronary syndromes: a modified Delphi consensus method. Open Heart. 2026;13(1):e003998.