Table 1.3.
Symptomatic Patients With Prior MI or Revascularization
| Clinical Scenario Text | ECG Treadmill | Stress Nuclear MPI | Stress Echo | Stress CMR | CAC | CCTA | Cath | No Test | |
|---|---|---|---|---|---|---|---|---|---|
| 25. | Incomplete revascularization | M (4) | A (8) | A (8) | A (7) | R (1) | R (3) | M (6) | M (4) |
| 26. | Prior PCI, symptoms similar to prior ischemic episode and/or anginal symptoms | M (5) | A (8) | A (8) | A (8) | R (1) | M (5) | A (7) | M (5) |
| 27. | Prior PCI, nonanginal symptoms | M (5) | M (6) | M (6) | M (6) | R (1) | M (5) | R (3) | M (6) |
| 28. | Prior CABG, symptoms similar to prior ischemic episode and/or anginal symptoms | M (4) | A (8) | A (8) | A (8) | R (1) | M (6) | A (7) | M (5) |
| 29. | Prior CABG, nonanginal symptoms | M (5) | M (6) | M (6) | M (6) | R (1) | M (6) | R (3) | M (5) |
| 30. | Prior MI, no revascularization, symptoms similar to prior ischemic episode and/or anginal | M (5) | A (8) | A (8) | A (8) | R (1) | A (7) | A (7) | R (3) |
| 31. | Prior MI, no revascularization, nonanginal symptoms | M (5) | M (6) | M (6) | M (6) | R (1) | M (6) | M (5) | M (5) |
| 32. | Assessment of myocardial viability | R (1) | A (8) | A (7) | A (8) | R (1) | R (1) | R (1) | |
| 33. | Prior to cardiac rehabilitation, coronary disease (no new or worsening symptoms) | A (7) | M (5) | M (5) | M (4) | R (1) | R (2) | R (1) | M (4) |
If grayed out, rating not applicable
A = Appropriate; CABG = coronary artery bypass graft; CAC = coronary artery calcium score; cath = cardiac catheterization; CCTA = coronary computed tomography angiography; CMR = cardiac magnetic resonance; ECG = electrocardiogram; echo = echocardiography; M = May Be Appropriate; MPI = myocardial perfusion imaging; MI = myocardial infarction; PCI = percutaneous coronary intervention; R = Rarely Appropriate