Table 4

Risk Assessment With Prior Test Results

IndicationAppropriateness Score (1–9)
Asymptomatic OR Stable Symptoms, Normal Prior Stress Imaging Study
20.
  • High CHD risk

  • Repeat stress echo study annually

I (2)
21.
  • High CHD risk

  • Repeat stress echo study after 2 years or greater

U (5)
Known CAD: Asymptomatic OR Stable Symptoms, Abnormal Catheterization OR Abnormal Prior Stress Imaging Study
22.
  • Assessment of severity of ischemia (CAD)

  • Less than 1 year to evaluate medically managed patients

I (2)
23.
  • Assessment of severity of ischemia (CAD)

  • Greater than or equal to 2 years to evaluate medically managed patients

U (5)
Worsening Symptoms: Abnormal Catheterization OR Abnormal Prior Stress Imaging Study
24.
  • Re-evaluation of medically managed patients

A (8)
Asymptomatic Prior Coronary Calcium Agatston Score
25.
  • Agatston score greater than or equal to 400

A (7)
26.
  • Agatston score less than 100

I (1)
Chest Pain Syndrome or Anginal Equivalent
27.
  • Coronary artery stenosis of unclear significance (cardiac catheterization or CT angiography)

A (8)