Coronary Artery Disease (Suspected or Diagnosed)

Overview

CPG 7A - Coronary Artery Disease (Suspected or Diagnosed)

Abstract
AUC Description Imaging Modality GRADE / Evidence Summary of Findings Risk of Bias QOE of Recommendation ICD 10 Codes
PICO #1: In adults with chest pain and known/suspected coronary artery disease (CAD), should electrocardiogram (ECG) be the initial assessment tool for optimal patient management? ECG 2A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO #2: In adults with chest pain, what clinical predictors warrant exercise stress testing (without imaging) to identify ischemia? Exercise Stress Echo 2A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO #3: In adults with chest pain and concern for coronary artery disease, who are able to exercise and have an uninterpretable electrocardiogram (ECG) should exercise stress echo or exercise stress myocardial perfusion imaging (MPI) be performed to identify ischemia? Exercise Stress Echo OR Exercise Stress MPI 3A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO #4: In adults with chest pain and undiagnosed or stable coronary artery disease (CAD), who are unable to exercise and have an uninterpretable electrocardiogram (ECG), should pharmacologic stress echo or pharmacologic stress myocardial perfusion imaging (MPI) be performed to identify ischemia? Pharmacological Stress Echo OR Pharmacological Stress MPI 2A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO #5: In adults with known coronary artery disease (CAD), should resting echocardiography be used for risk assessment? Echocardiography 2A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO #6: In adults who have survived sudden cardiac death, should cardiac catheter angiography be utilized to determine underlying etiology? Coronary Catheter Angiography 2A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO #7: In adults with congestive heart failure (CHF), should coronary catheter angiography be performed for optimal patient management? Coronary Catheter Angiography 2A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO #8: In adults with known or suspected coronary artery disease (CAD), what clinical predictors warrant cardiac CT angiography (CCTA) to assess stenosis? CCTA 2A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO 9: In adults with known or suspected coronary artery disease (CAD), what clinical predictors warrant cardiac magnetic resonance (CMR) stress perfusion imaging to assess stenosis? CMR 2A Table Table Table I25.10, I25.11,I25.8,I25.9
PICO #10: In adults with concern for coronary artery disease, what clinical predictors warrant the use of a coronary artery calcium score (CACS)? CACS (Coronary artery calcium scoring) 2A Table Table Table I25.10, I25.11,I25.8,I25.9
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