Table 1

Detection of CAD/Risk Assessment: Symptomatic

IndicationAppropriateness Score (1–9)
Evaluation of Chest Pain Syndrome or Anginal Equivalent
1.
  • Low pre-test probability of CAD

  • ECG interpretable AND able to exercise

I (3)
2.
  • Low pre-test probability of CAD

  • ECG uninterpretable OR unable to exercise

A (7)
3.
  • Intermediate pre-test probability of CAD

  • ECG interpretable AND able to exercise

A (7)
4.
  • Intermediate pre-test probability of CAD

  • ECG uninterpretable OR unable to exercise

A (9)
5.
  • High pre-test probability of CAD

  • Regardless of ECG interpretability and ability to exercise

A (7)
6.
  • Prior stress ECG test is uninterpretable or equivocal

A (8)
Acute Chest Pain
7.
  • Intermediate pre-test probability of CAD

  • ECG–no dynamic ST changes AND serial cardiac enzymes negative

A (8)
8.
  • High pre-test probability of CAD

  • ECG–ST elevation

I (1)
New-Onset/Diagnosed Heart Failure With Chest Pain Syndrome or Anginal Equivalent
9.
  • Intermediate pre-test probability

  • Normal LV systolic function

A (8)
10.
  • LV systolic function

U (5)