Table 3.
Indications for correct and appropriate use of imaging tests in a setting of patients with chest pain
| Appropriateness in non-invasive ultrasound procedures | ACR/ACC/AHA/AATS/ ACEP/ASNC/NASCI/ SAEM/SCCT/SCMR/SCPC/ SNMMI/STR/STS 2015 | ASE 2013 (pericardium) 2015 (aorta) | ESC 2014 (Aorta PE) 2015 (ACS) | ANMCO-SIMEU 2016 |
|---|---|---|---|---|
| STEMI–ACS (HUS) | R | A | A | |
| ACS—certain (HUS) | R/M | A | A | |
| ACS—probable (HUS) | M | A | A | |
| ACS—possible (HUS) | R/M | A | A | |
| PE low probability and DD—(CUS) | R | R | R | |
| PE no low probability or DD + (CUS) | M/A | M/A | A | |
| PE no low probability or DD + (HUS) | M/A | A | ||
| AAS possible/probable (HUS) | M | M | A | A |
| Pericarditis possible/probable (HUS) | A | A | A | A |
| Pnx possible/probable (TUS) | A | |||
| Not classified chest pain | A |
ACS, acute coronary syndrome; HUS, heart ultra-sounds; CUS, compressive ultra-sounds; PE, Pulmonary Embolism; Pnx, pneumothorax; AAS, acute aortic syndrome; TUS, thorax ultra-sounds; DD, D-dimer; A, appropriate; M, intermediate appropriateness; R, rarely appropriate; O, not indicated.