Table 2.3.

Asymptomatic Patients Undergoing Assessment of an Exercise Program or Cardiac Rehabilitation

Clinical Scenario Text		Exercise ECG	Stress Nuclear MPI	Stress Echo	Stress CMR	CAC	CCTA	Cath	No Test
48.	Prior to initiation of an unsupervised exercise program, without known CCD	M (6)	R (3)	R (3)	R (3)	R (3)	R (1)	R (1)	A (7)
49.	Prior to initiation of an unsupervised exercise program, with known CCD	A (7)	M (5)	M (5)	M (4)	R (1)	R (2)	R (1)	M (4)
50.	Prior to cardiac rehabilitation	A (7)	M (4)	M (4)	M (4)	R (1)	R (2)	R (1)	M (5)

A = Appropriate; CAC = coronary artery calcium score; cath = cardiac catheterization; CCD = chronic coronary disease; CCTA = coronary computed tomography angiography; CMR = cardiac magnetic resonance; ECG = electrocardiogram; echo = echocardiography; HFpEF = heart failure with preserved ejection fraction; HFrEF = heart failure with reduced ejection fraction; M = May Be Appropriate; MI = myocardial infarction; MPI = myocardial perfusion imaging; R = Rarely Appropriate