Table 4.
Risk | Parameters |
---|---|
High Risk >3% annual mortality rate | 1. Severe resting left ventricular dysfunction (LV EF < 35 %) |
2. High-risk treadmill score (score ≤ -11) | |
3. Severe exercise left ventricular dysfunction (exercise LV EF < 35 %) | |
4. Stress-induced large perfusion defect (particularly if anterior) | |
5. Stress-induced multiple perfusion defects of moderate size | |
6. Large, fixed perfusion defect with LV dilation or increased lung uptake (thallium-201) | |
8. Echocardiographic wall motion abnormality (involving > two segments) developing at low dose of dobutamine (≤10 mg/kg/min) or at a low heart rate (<120 bpm) | |
9. Stress echocardiographic evidence of extensive ischemia | |
Intermediate Risk 1–3 % annual mortality rate | 1. Mild/moderate resting left ventricular dysfunction (LV EF = 35–49%) |
2. Intermediate-risk treadmill score (-11 < score < 5) | |
3. Stress-induced moderate perfusion defect without LV dilation or increased lung intake (thallium-201) | |
4. Limited stress echocardiographic ischemia with a wall motion abnormality only at higher doses of dobutamine involving ≤ two segments | |
Low Risk < 1% annual mortality rate | 1. Low-risk treadmill score (score ≥ 5) |
2. Normal or small myocardial perfusion defect at rest or with stress | |
3. Normal stress echocardiographic wall motion or no change of limited resting wall motion abnormalities during stress |