Table 2.2.
Asymptomatic Patients With Prior Revascularization or MI
| Clinical Scenario Text | ECG Treadmill | Stress Nuclear MPI | Stress Echo | Stress CMR | CAC | CCTA | Cath | No Test | |
|---|---|---|---|---|---|---|---|---|---|
| 39. | Incomplete revascularization | M (5) | M (6) | M (6) | M (6) | R (1) | M (4) | R (2) | M (5) |
| 40. | Prior high-risk PCI | M (4) | M (6) | M (5) | M (5) | R (1) | M (4) | R (3) | M (5) |
| 41. | < 5 y after CABG | R (2) | R (2) | R (2) | R (2) | R (1) | R (3) | R (1) | A (7) |
| 42. | > 5 y after CABG | M (4) | M (4) | M (4) | M (4) | R (1) | M (4) | R (2) | A (7) |
| 43. | < 2 y after PCI | R (2) | R (2) | R (2) | R (2) | R (1) | R (2) | R (1) | A (7) |
| 44. | > 2 y after PCI | M (5) | M (5) | M (5) | M (5) | R (1) | M (4) | R (1) | A (7) |
| 45. | Patients at high risk for or with a history of silent ischemia* | M (4) | A (7) | A (7) | A (7) | R (1) | M (5) | R (3) | M (5) |
| 46. | Assessment of myocardial viability | R (1) | A (7) | M (6) | A (7) | R (1) | R (1) | R (1) | |
| 47. | Isolated evaluation of bypass graft patency | R (3) | M (5) | M (5) | M (5) | R (1) | A (7) | R (3) | M (6) |
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; MI = myocardial infarction; MPI = myocardial perfusion imaging; PCI = percutaneous coronary intervention; R = Rarely Appropriate
*Diabetes mellitus with accelerated progression of CAD, chronic kidney disease, peripheral artery disease, prior brachytherapy, in-stent restenosis, saphenous vein graft intervention [42]