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Table 2.3 Asymptomatic Patients Undergoing Assessment of an Exercise Program or Cardiac Rehabilitation

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

Exercise ECG

Stress Nuclear MPI

Stress Echo

Stress CMR

CAC

CCTA

Cath

No Test

48.

Prior to initiation of an unsupervised exercise program, without known CCD

M (6)

R (3)

R (3)

R (3)

R (3)

R (1)

R (1)

A (7)

49.

Prior to initiation of an unsupervised exercise program, with known CCD

A (7)

M (5)

M (5)

M (4)

R (1)

R (2)

R (1)

M (4)

50.

Prior to cardiac rehabilitation

A (7)

M (4)

M (4)

M (4)

R (1)

R (2)

R (1)

M (5)

  1. A = Appropriate; CAC = coronary artery calcium score; cath = cardiac catheterization; CCD = chronic coronary disease; CCTA = coronary computed tomography angiography; CMR = cardiac magnetic resonance; ECG = electrocardiogram; echo = echocardiography; HFpEF = heart failure with preserved ejection fraction; HFrEF = heart failure with reduced ejection fraction; M = May Be Appropriate; MI = myocardial infarction; MPI = myocardial perfusion imaging; R = Rarely Appropriate