Table 4. Suggested first-line diagnostic investigation for chest pain [4].
Pre-test probability | Suggested first-line investigation |
<10% | Consider other causes of chest pain |
Between 10% and 29% | Consider coronary calcium |
If coronary calcium score is zero consider other causes of chest pain | |
If coronary calcium score is between 1 and 400 consider functional imaging for further assessment | |
If coronary calcium score is >400 consider coronary angiography | |
Between 30% and 60% | Consider functional imaging |
Between 61% and 90% | Consider coronary angiography if revascularisations is a consideration or functional imaging if revascularisation is not a consideration |
More than 90% | Manage as angina |