Figure 3. Risk Assessment of Patients with Stable Ischemic
Heart Disease (SIHD)
Diagnosis
6
Pharm
stress MPI
or Echo
Pharm
CMR or
CCTA
OR
Standard
exercise test
MPI or
Echo w/
exercise
OR
YES NO
Special circumstances
(irrespective of ability to exercise)
CCTA
YES
NO
YES
NO
YES
Pharm
MPI, Echo,
CCTA, or
CMR
MPI or
Echo w/
exercise
LBBB on ECG?
Known stenosis
of unclear
significance for
revascularization
Indeterminate
result from
functional testing
Known Ischemic Heart Disease
Patient able to exercise?
