Table 11

Stress Echocardiography for Detection of CAD/Risk Assessment: Asymptomatic (Without Ischemic Equivalent) in Patient Populations With Defined Comorbidities

IndicationAppropriate Use Score (1–9)
New-Onset or Newly Diagnosed HF or LV Systolic Dysfunction With Stress Echocardiography
128.
  • No prior CAD evaluation and no planned coronary angiography

A (7)
Arrhythmias With Stress Echocardiography
129.
  • Sustained VT

A (7)
130.
  • Frequent PVCs, exercise induced VT, or nonsustained VT

A (7)
131.
  • Infrequent PVCs

I (3)
132.
  • New-onset atrial fibrillation

U (6)
Syncope With Stress Echocardiography
133.
  • Low global CAD risk

I (3)
134.
  • Intermediate or high global CAD risk

A (7)
Elevated Troponin With Stress Echocardiography
135.
  • Troponin elevation without symptoms or additional evidence of ACS

A (7)

A indicates appropriate; I, inappropriate; and U, uncertain.