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. 2017 May 4;7(4):e012652. doi: 10.1136/bmjopen-2016-012652

Table 1.

Test sequence in each modelled strategy

First test Second test Third test
Strat. 1 Exercise ECG Stress echocardiography Coronary angiography
Strat. 2 Exercise ECG Coronary CT angiography Coronary angiography
Strat. 3 Exercise ECG SPECT Coronary angiography
Strat. 4 Exercise ECG Coronary angiography
Strat. 5 SPECT Coronary angiography
Strat. 6 Stress echocardiography Coronary angiography
Strat. 7 Stress echocardiography Coronary CT angiography Coronary angiography
Strat. 8 Stress cardiac MRI Coronary angiography
Strat. 9 Coronary CT angiography Coronary angiography
Strat. 10* Coronary angiography Stress echocardiography
Strat. 11* Coronary angiography SPECT

*Strategies 10 and 11, in which invasive coronary angiography is the first test, are only considered in scenarios with high pretest probability. SPECT, single-photon emission CT.