14
Diagnosis
Table 7. Stress Testing and Advance Imaging for Initial
Diagnosis in Patients with Suspected SIHD Who
Require Noninvasive Testing
Test
Exercise Status ECG Interpretable
Able Unable Yes No
Patents able to exercise
Exercise ECG
✔ ✔
Exercise with nuclear MPI or
Echo
✔ ✔
Exercise ECG
✔ ✔
Exercise with nuclear MPI or
Echo
✔ ✔
Pharmacological stress CMR
✔ ✔
CCTA
✔
Any
Exercise Echo
✔ ✔
Pharmacological stress with
nuclear MPI, Echo or CMR
✔ ✔
Exercise stress with nuclear
MPI
✔ ✔
Patients unable to exercise
Pharmacological stress with
nuclear MPI or Echo
✔
Any
Pharmacological stress Echo
✔
Any
CCTA
✔
Any
Pharmacological stress CMR
✔
Any
Exercise ECG
✔ ✔
Other
CCTA
If patient has any of the
following :
a) Continued symptoms with
prior normal test, or
b) Inconclusive exercise or
pharmacological stress, or
c) Unable to undergo stress
with MPI or Echo
Any Any
CAC score Any Any
