Diagnostic strategy in patients with stable chronic chest pain of suspected cardiac origin.
| Prior probability of coronary artery disease | Investigative strategy and rationale |
|---|---|
| <10% (and/or non-anginal chest pain) | Trust your clinical judgement: no further testing for CAD |
| 10-30% | Rule-out test needed: CT calcium +/− CT angiography |
| 30-60% | Uncertainty: non-invasive functional imaging |
| 61-90% | Rule-in test needed: invasive coronary angiography |
| >90% (with typical angina) | Trust your clinical judgement: no further diagnostic testing |