Table 1.3

STEMI—Revascularization of Nonculprit Artery During the Initial Hospitalization

IndicationAppropriate Use Score (1–9)
Successful Treatment of the Culprit Artery by Primary PCI or Fibrinolysis Revascularization of 1 or More Nonculprit Arteries During the Same Hospitalization
Revascularization by PCI or CABG
10.
  • Spontaneous or easily provoked symptoms of myocardial ischemia

  • One or more additional severe stenoses

A (8)
11.
  • Asymptomatic

  • Findings of ischemia on noninvasive testing

  • One or more additional severe stenoses

A (7)
12.
  • Asymptomatic (no additional testing performed)

  • One or more additional severe stenoses

M (6)
13
  • Asymptomatic (no additional testing performed)

  • One or more additional intermediate stenoses

R (3)
14.
  • Asymptomatic

  • One or more additional intermediate (50%–70%) stenoses

  • FFR performed and ≤0.80

A (7)

The number in parenthesis next to the rating reflects the median score for that indication.

A = appropriate; CABG = coronary artery bypass graft; FFR = fractional flow reserve; M = may be appropriate; PCI = percutaneous coronary intervention; R = rarely appropriate; STEMI = ST-segment elevation myocardial infarction.