5
See ACCF/AHA
UA/NSTEMI Guideline
Symptoms or findings suggest high-risk lesions(s)
a
OR
Prior sudden death or serious ventricular arrhythmia
OR
Prior stent in unprotected le main coronary artery
Low likelihood
IHD
NO
Standard
exercise
ECG
Intermediate to
high likelihood
IHD
Intermediate
likelihood IHD
Test results suggest high-
risk coronary lesions(s)?
Initiate Guideline-Directed
Medical erapy; consider coronary
revascularization to improve survival
c
CCTA
Initiate Guideline-
Directed Medical
erapy
b
NO
YES
OR
Standard
exercise
ECG
MPI or Echo
w/ exercise or
pharm CMR
Regular
monitoring
YES
NO
Successful
treatment?
Consider coronary
revascularization to
improve symptoms
d
Initiate Guideline-Directed
Medical erapy; consider coronary
revascularization to improve survival
c
YES
