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. 2011 Dec;84(Spec Iss 3):S280–S295. doi: 10.1259/bjr/50903757

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