32
Figure 10. Evaluation Algorithm for Patients With Suspected
ACS at Intermediate Risk With Known CAD
Acute Chest Pain
+
Intermediate-Risk With Known CAD*
Discharge
Discharge
CCTA
(2a)
Nonobstructive
CAD
†
(<50% stenosis)
Option to defer
testing and
intensify GDMT
(1)
FFR-CT
║
OR
stress testing
(2a)
No change
Obstructive CAD
(≥50% stenosis)
Consider INOCA
pathway as
an outpatient
for frequent
or persistent
symptoms
ICA
(1)
YES NO
FFR-CT ≤0.8 or
moderate-severe ischemia
Treatment
GDMT
(1)
