10
Diagnosis
Table 5. Potential Features Associated With a Higher Risk of
MACE Among Patients With Established CCD
Demographics and Socioeconomic Status (also see Section 4.1.4, "Social
Determinants of Health")
Age
Male
Poor social support
Poverty or lack of health care access
Past or Concurrent Medical, Mental Health Conditions
Elevated body mass index
Previous MI, PCI, or CABG
HF
Atrial fibrillation or flutter
Diabetes
Dyslipidemia
Chronic kidney disease
Current or former smoker
Peripheral artery disease
Depression
Poor adherence with goal-directed pharmacotherapy
Ancillary Cardiac Testing or Imaging
Inability to exercise
Angina with stress
ECG: le bundle branch block, le ventricular hypertrophy, higher resting heart rate
Echocardiography: reduced le ventricular ejection fraction, le ventricular
hypertrophy
EST: higher DTS, higher resting heart rate, achieved heart rate <85% predicted
Exercise or dobutamine stress echocardiography: higher DTS, lower exercise
workload, peak rate-pressure product <15,000, coronary flow reserve <2, no change
or increase in le ventricular end-systolic volume, reduced ejection fraction, ischemic
electrocardiographic changes with stress
