Table 1.2 Symptomatic Patients Without Known CCD and With Prior Testing*
Clinical Scenario Text | ECG Treadmill | Stress Nuclear MPI | Stress Echo | Stress CMR | CAC | CCTA | Cath | No Test | |
|---|---|---|---|---|---|---|---|---|---|
6. | Abnormal ECG | M (4) | A (8) | A (8) | A (8) | M (5) | A (8) | M (5) | M (4) |
7. | Normal ET | M (6) | M (6) | M (6) | M (5) | M (6) | R (3) | M (5) | |
8. | Inconclusive ET | A (8) | A (8) | A (7) | M (5) | A (8) | M (5) | R (3) | |
9. | Abnormal ET | A (8) | A (8) | A (7) | M (4) | A (8) | A (8) | M (5) | |
10. | Normal stress imaging†| R (1) | R (2) | R (2) | R (2) | M (4) | A (7) | M (5) | M (6) |
11. | Mild ischemia on stress imaging†| R (1) | R (3) | R (3) | R (3) | R (3) | A (7) | M (6) | M (5) |
12. | Inconclusive stress imaging†| R (1) | M (5) | M (5) | M (5) | M (4) | A (8) | M (6) | R (3) |
13. | Moderate to severe ischemia on stress imaging†| R (1) | R (1) | R (1) | R (1) | R (2) | A (7) | A (9) | M (4) |
14. | CCTA with no CAD or up to 49% stenosis (CAD-RADS 0–2) | M (4) | M (5) | M (5) | M (5) | R (1) | R (2) | M (6) | |
15. | CCTA with moderate stenosis 50%-69% (CAD-RADS 3) | M (6) | A (7) | A (7) | A (7) | R (1) | A (7) | M (5) | |
16. | CCTA with severe stenosis ≥ 70% (CAD-RADS 4–5) | M (5) | M (6) | M (6) | M (6) | R (1) | A (8) | M (5) | |
17. | CCTA inconclusive (CAD-RADS N) | A (7) | A (8) | A (8) | A (8) | R (1) | A (7) | R (3) | |
18. | CAC score = 0 (CAC-DRS 0) | M (5) | M (6) | M (6) | M (6) | M (5) | R (1) | M (5) | |
19. | CAC score 1–99 (CAC-DRS 1) | M (6) | M (5) | M (6) | M (5) | M (5) | R (3) | M (5) | |
20. | CAC score 100–299 (CAC-DRS 2) | A (7) | A (7) | A (7) | A (7) | A (7) | M (5) | M (4) | |
21. | CAC score ≥ 300 (CAC-DRS 3) | A (7) | A (7) | A (7) | A (7) | M (6) | M (6) | R (3) | |
22. | Invasive coronary angiography with mild or no CAD and/or normal invasive physiological testing‡ | R (2) | M (3) | R (2) | M (4) | R (1) | R (1) | A (7) | |
23. | Invasive coronary angiography with intermediate severity and/or invasive physiological testing not done‡ | M (5) | A (7) | A (8) | A (7) | R (1) | R (1) | M (4) | |
24. | Invasive coronary angiography with obstructive CAD and/or abnormal invasive physiological testing‡ | R (2) | M (4) | M (4) | M (4) | R (1) | R (1) | M (4) | |