Table 5.

Summary of Studies Deemed Rarely Appropriate.

AUC Indication	Study Performed	Clinical Context
1 – Symptomatic; low pre-test probability of CAD; ECG interpretable AND able to exercise	Exercise Stress SPECT	41-year-old woman with hypertension. Study performed due to atypical chest pain.
28 – Sequential testing (≤90 Days): abnormal prior test/study); obstructive CAD on prior invasive coronary angiography	Coronary CTA	40-year-old man with a history of vasculitis who was found to have a 70% LAD stenosis on coronary angiography four days prior. Study performed to assess for suspected coronary vasculitis.
71 – Pre-operative evaluation for noncardiac surgery; moderate-to-good functional capacity (≥4 METs) OR no clinical risk factors; any surgery	Pharmacologic Stress SPECT	75-year-old man with CAD (history of MI and PCI), hypertension, diabetes, dyslipidemia, and prior tobacco use without symptoms of CAD. Study preformed as pre-operative assessment prior to thoracic surgery.

CAD = coronary artery disease. CTA = computed tomography angiography. ECG = electrocardiogram. LAD = left anterior descending coronary artery. METs = metabolic equivalents. MI = myocardial infarction. SPECT = single-photon emission computed tomography.