Table 2.4.
Other Cardiovascular Conditions in Patients Without Symptoms of Ischemia
| Clinical Scenario Text | ECG Treadmill | Stress Nuclear MPI | Stress Echo | Stress CMR | CAC | CCTA | Cath | No Test | |
|---|---|---|---|---|---|---|---|---|---|
| Newly-Diagnosed Heart Failure (Resting LV Function Previously Assessed but No Prior CAD Evaluation) | |||||||||
| 51. | Newly diagnosed HFpEF | M (4) | A (7) | A (8) | A (7) | R (3) | A (7) | M (6) | R (3) |
| 52. | Newly diagnosed HFrEF | M (4) | A (7) | A (8) | A (8) | R (2) | A (7) | A (8) | R (1) |
| 53. | Screening for transplant vasculopathy | R (3) | A (7) | A (7) | A (7) | R (1) | A (7) | A (8) | |
| Evaluation of Arrhythmias Without Ischemic Equivalent (No Prior Cardiac Evaluation) | |||||||||
| 54. | Infrequent PVCs | M (4) | R (2) | R (2) | R (2) | R (2) | R (1) | R (1) | A (8) |
| 55. | Frequent PVCs or nonsustained VT | A (7) | A (7) | A (7) | A (7) | R (3) | M (6) | M (5) | M (4) |
| 56. | Paroxysmal supraventricular tachycardia | M (5) | R (2) | R (3) | R (3) | R (1) | R (2) | R (1) | M (5) |
| 57. | New-onset atrial fibrillation/flutter | M (5) | R (3) | R (3) | R (3) | R (2) | R (3) | R (1) | M (5) |
| 58. | Prior to initiation of antiarrhythmic therapy in patients with high global CAD risk | M (6) | A (7) | A (7) | A (7) | R (3) | A (7) | R (3) | R (3) |
| 59. | Exercise-induced VT | A (7) | A (7) | A (8) | A (7) | R (2) | A (7) | A (7) | R (1) |
| 60. | Sustained VT | A (7) | A (7) | A (7) | A (7) | R (2) | A (7) | A (7) | R (1) |
| 61. | Ventricular fibrillation | M (4) | A (7) | A (7) | A (7) | R (1) | A (7) | A (8) | R (1) |
| Syncope Without Ischemic Equivalent | |||||||||
| 62. | Initial evaluation suggests CV abnormalities | A (7) | A (7) | A (7) | A (7) | R (3) | M (6) | M (5) | R (3) |
| 63. | Initial evaluation suggests other etiology | M (4) | R (3) | M (4) | R (3) | R (2) | R (2) | R (1) | M (6) |
| Cardio-oncology | |||||||||
| 64. | Prior chest radiation, no symptoms, > 5 y ago | M (4) | M (4) | M (6) | M (5) | M (6) | M (6) | R (2) | M (5) |
If grayed out, rating not applicable
A = Appropriate; CAC = coronary artery calcium score; CAD = coronary artery disease; cath = cardiac catheterization; CCTA = coronary computed tomography angiography; CMR = cardiac magnetic resonance; CV = cardiovascular; ECG = electrocardiogram; echo = echocardiography; HFpEF = heart failure with preserved ejection fraction; HFrEF = heart failure with reduced ejection fraction; M = May Be Appropriate; MPI = myocardial perfusion imaging; PVC = premature ventricular contraction; R = Rarely Appropriate; VT = ventricular tachycardia