Table 1.1.

Symptomatic Patients With No Known CCD and No Prior Testing

Clinical Scenario Text		ECG Treadmill	Stress Nuclear MPI	Stress Echo	Stress CMR	CAC	CCTA	Cath	No Test
1.	Less-likely anginal symptoms with a noncardiac explanation	R (3)	R (2)	R (2)	R (2)	R (3)	R (1)	R (1)	A (8)
2.	Less-likely anginal symptoms, age < 50 y and 0 or 1 CV risk factor	M (4)	R (3)	R (3)	R (3)	M (4)	R (3)	R (1)	A (7)
3.	Less-likely anginal symptoms, age 50 y or above and/or ≥ 2 CV risk factors	M (6)	M (6)	M (6)	M (5)	M (6)	M (5)	R (2)	M (4)
4.	Likely anginal symptoms, age < 50 y and 0 or 1 CV risk factor	A (7)	A (7)	A (7)	A (7)	M (6)	A (7)	R (3)	R (3)
5.	Likely anginal symptoms, age 50 y or above and/or ≥ 2 CV risk factors	A (7)	A (8)	A (8)	A (7)	M (5)	A (7)	A (7)	R (1)

CV risk factors: diabetes mellitus, smoking, family history of premature CAD, hypertension, dyslipidemia

A = Appropriate; CAC = coronary artery calcium; CAD = coronary artery disease; cath = cardiac catheterization; CCD = chronic coronary disease; CCTA = coronary computed tomography angiography; CMR = cardiac magnetic resonance; CV = cardiovascular; ECG = electrocardiogram; echo = echocardiography; M = May Be Appropriate; MPI = myocardial perfusion imaging; R = Rarely Appropriate