ACC GUIDELINES Bundle (free trial)

Stable Ischemic Heart Disease

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38 Follow-up Table 14. Follow-Up Noninvasive Testing in Patients with Known SIHD: New, Recurrent, or Worsening Symptoms Not Consistent With UA Test Exercise Status ECG Interpretable Able Unable Yes No Patents able to exercise* Exercise ECG ✔ ✔ Exercise with nuclear MPI or Echo ✔ ✔ Exercise with nuclear MPI or Echo ✔ Any Pharmacological stress nuclear MPI/Echo/CMR ✔ ✔ Patients unable to exercise Pharmacological stress with nuclear MPI or Echo ✔ Any Pharmacological stress CMR ✔ Any Exercise ECG ✔ ✔ Irrespective of ability to exercise CCTA Any Any CCTA Any Any CCTA Any Any * Patients are candidates for exercise testing if they are capable of performing at least moderate physical functioning (ie, moderate household, yard, or recreational work and most activities of daily living ) and have no disabling comorbidity. Patients should be able to achieve 85% of age- predicted maximum heart rate.

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