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Table 1.3 Symptomatic Patients With Prior MI or Revascularization

From: ACC/AHA/ASE/ASNC/ASPC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2023 Multimodality Appropriate Use Criteria for the Detection and Risk Assessment of Chronic Coronary Disease

Clinical Scenario Text

ECG Treadmill

Stress Nuclear MPI

Stress Echo

Stress CMR

CAC

CCTA

Cath

No Test

25.

Incomplete revascularization

M (4)

A (8)

A (8)

A (7)

R (1)

R (3)

M (6)

M (4)

26.

Prior PCI, symptoms similar to prior ischemic episode and/or anginal symptoms

M (5)

A (8)

A (8)

A (8)

R (1)

M (5)

A (7)

M (5)

27.

Prior PCI, nonanginal symptoms

M (5)

M (6)

M (6)

M (6)

R (1)

M (5)

R (3)

M (6)

28.

Prior CABG, symptoms similar to prior ischemic episode and/or anginal symptoms

M (4)

A (8)

A (8)

A (8)

R (1)

M (6)

A (7)

M (5)

29.

Prior CABG, nonanginal symptoms

M (5)

M (6)

M (6)

M (6)

R (1)

M (6)

R (3)

M (5)

30.

Prior MI, no revascularization, symptoms similar to prior ischemic episode and/or anginal

M (5)

A (8)

A (8)

A (8)

R (1)

A (7)

A (7)

R (3)

31.

Prior MI, no revascularization, nonanginal symptoms

M (5)

M (6)

M (6)

M (6)

R (1)

M (6)

M (5)

M (5)

32.

Assessment of myocardial viability

R (1)

A (8)

A (7)

A (8)

R (1)

R (1)

R (1)

 

33.

Prior to cardiac rehabilitation, coronary disease (no new or worsening symptoms)

A (7)

M (5)

M (5)

M (4)

R (1)

R (2)

R (1)

M (4)

  1. If grayed out, rating not applicable
  2. A = Appropriate; CABG = coronary artery bypass graft; CAC = coronary artery calcium score; cath = cardiac catheterization; CCTA = coronary computed tomography angiography; CMR = cardiac magnetic resonance; ECG = electrocardiogram; echo = echocardiography; M = May Be Appropriate; MPI = myocardial perfusion imaging; MI = myocardial infarction; PCI = percutaneous coronary intervention; R = Rarely Appropriate