Table 9

Stress Echocardiography for Detection of CAD/Risk Assessment: Symptomatic or Ischemic Equivalent

IndicationAppropriate Use Score (1–9)
Evaluation of Ischemic Equivalent (Nonacute) With Stress Echocardiography
114.
  • Low pretest probability of CAD

  • ECG interpretable and able to exercise

I (3)
115.
  • Low pretest probability of CAD

  • ECG uninterpretable or unable to exercise

A (7)
116.
  • Intermediate pretest probability of CAD

  • ECG interpretable and able to exercise

A (7)
117.
  • Intermediate pretest probability of CAD

  • ECG uninterpretable or unable to exercise

A (9)
118.
  • High pretest probability of CAD

  • Regardless of ECG interpretability and ability to exercise

A (7)
Acute Chest Pain With Stress Echocardiography
119.
  • Possible ACS

  • ECG: no ischemic changes or with LBBB or electronically paced ventricular rhythm

  • Low-risk TIMI score

  • Negative troponin levels

A (7)
120.
  • Possible ACS

  • ECG: no ischemic changes or with LBBB or electronically paced ventricular rhythm

  • Low-risk TIMI score

  • Peak troponin: borderline, equivocal, minimally elevated

A (7)
121.
  • Possible ACS

  • ECG: no ischemic changes or with LBBB or electronically paced ventricular rhythm

  • High-risk TIMI score

  • Negative troponin levels

A (7)
122.
  • Possible ACS

  • ECG: no ischemic changes or with LBBB or electronically paced ventricular rhythm

  • High-risk TIMI score

  • Peak troponin: borderline, equivocal, minimally elevated

A (7)
123.
  • Definite ACS

I (1)

A indicates appropriate; and I, inappropriate.