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. 2011 Mar 11;19(7-8):336–343. doi: 10.1007/s12471-011-0096-2

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© The Author(s) 2011

This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

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Fig. 4 — Alternative diagnostic algorithm. * If risk factor diabetes or hypertension is present, patients are categorised to high pre-test probability category. CCS: coronary calcium score (expressed as Agatston Score), CTCA: computed tomography coronary angiography, ICA: invasive coronary angiography, RCA: right coronary artery, Cx: left circumflex artery, LM: left main, LAD: left anterior descending artery, 3-VD: three-vessel disease. Ischaemic testing includes stress myocardial perfusion imaging: SPECT or single photon emission computed tomography [relative flow], PET or positron emission tomography [absolute flow], MRI or magnetic resonance imaging [flow reserve]; stress echocardiography [wall motion]