Role of Exercise Testing in Management of CAD; EF, Left Ventricular Ejection Fraction - Flowchart

Role of Exercise Testing in Management of CAD; EF, Left Ventricular Ejection Fraction - Flowchart

Role of Exercise Testing in Management of CAD; EF, Left Ventricular Ejection Fraction - Flowchart

«Flowchart»

Symptoms consistent with angina pectoris

Symptoms consistent with angina pectoris

Symptoms consistent with angina pectoris

Inactive or elderly patient with mild symptoms

Inactive or elderly patient with mild symptoms

Inactive or elderly patient with mild symptoms

Stress testing

Stress testing

Stress testing

Continue medical therapy

Continue medical therapy

Continue medical therapy

End

End

End

Consider coronary arteriography

Consider coronary arteriography

Consider coronary arteriography

Assess LV function (e.g., by echo)

Assess LV function (e.g., by echo)

Assess LV function (e.g., by echo)

EF >40%

EF >40%

EF >40%

EF 40%

EF 40%

EF <=40%

Trial of medical therapy

Trial of medical therapy

Trial of medical therapy

Symptoms controlled

Symptoms controlled

Symptoms controlled

Symptomatic stable angina

Symptomatic stable angina

Symptomatic stable angina

Refractory symptoms

Refractory symptoms

Refractory symptoms

Consider alternate diagnosis

Consider alternate diagnosis

Consider alternate diagnosis

Positive or nondiagnostic test

Positive or nondiagnostic test

Positive or nondiagnostic test

Markedly positive test

Markedly positive test

Markedly positive test

Normal

Normal

Normal