Prognostic Importance of Physical Examination for Heart Failure in Non–ST-Elevation Acute Coronary Syndromes

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Abstract
Increasingly sophisticated laboratory studies and diagnostic testing have led to diminished attention to the importance of the physical examination of patients. This is evidenced by a decreased emphasis on the physical examination in training programs and also by decreased proficiency among trainees in basic physical examination skills, such as cardiac and pulmonary auscultation.1,2 An important reason for this diminished interest is that studies have documented limitations of physical examination when compared with more sophisticated methods.3 These studies have given credence to a widespread belief that information obtained by physical examination is of limited value.4-6

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