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. 2021 Jul 15;117(1):181–264. [Article in Portuguese] doi: 10.36660/abc.20210180
Assessment by stress echocardiogram - Summary of recommendations and evidence
Use in patients with unstable angina or clinically controlled low-risk NSTE-ACS* before deciding on an invasive strategy. IIa A
Use to assess the functional significance of moderate coronary obstruction on angiography, as long as a result interferes with management. IIa C
Use for risk stratification after uncomplicated myocardial infarction. IIa A
Use to investigate suspected microvascular disease to determine whether segmental changes occur in conjunction with angina and ECG changes. IIa C
Use strain and strain rate parameters derived from speckle tracking as an adjunct tool to the wall motion score index for diagnosis and/or prognosis of acute coronary disease. IIa B
Use in high-risk unstable angina or acute myocardial infarction. III C
*

Without recurrent angina, signs of HF, changes in initial/serial ECG and with normal troponin; typical anginal pain with abnormal ECG or functional test with normal cardiac catheterization.