Table 1.
ACC/AHA 20129 |
ESC 201310 |
NICE 20168 |
|||
---|---|---|---|---|---|
PTP | Test | PTP | Test | PTP | Test |
<10% | Exercise ECG Exercise nuclear Stress echocardiography |
15–50% | CCTA | N/A | CCTA . . .then functional imaging if equivocal. . . .or ICA if functional imaging inconclusive |
10–90% | Exercise ECG Stress nuclear/echo/CMR CCTA |
15–65% | Exercise ECG Stress nuclear/echo/CMR |
||
>90% | Stress nuclear/echo/CMR CCTA |
66–85% | Stress nuclear/echo/CMR |
Comparison of ACC/AHA 2012, ESC 2013 and NICE 2016 guidelines for selection of diagnostic modalities during work up of coronary artery disease.
ACC, American College of Cardiology; CCTA, coronary CT angiography; CMR, cardiac magnetic resonance; ECG, electrocardiogram; ESC, European Society of Cardiology; ICA, invasive coronary angiography; NICE, National Institute for Clinical Excellence; PTP, pre-test probability.