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Acr Appropriateness Criteria® Chronic Chest Pain—High Probability Of Coronary Artery Disease, James P. Earls, Richard D. White, Pamela K. Woodard, Suhny Abbara, Michael K. Atalay, J. Jeffrey Carr, Linda B. Haramati, Robert C. Hendel, Vincent B. Ho, Udo Hoffman, Arfa R. Khan, Leena Mammen, Edward T. Martin, Anna Rozenshtein, Thomas Ryan, Joseph Schoeph, Robert M. Steiner, Charles S. White

Uniformed Services University of the Health Sciences

Imaging is valuable in determining the presence, extent, and severity of myocardial ischemia and the severity of obstructive coronary lesions in patients with chronic chest pain in the setting of high probability of coronary artery disease. Imaging is critical for defining patients best suited for medical therapy or intervention, and findings can be used to predict long-term prognosis and the likely benefit from various therapeutic options. Chest radiography, radionuclide single photon-emission CT, radionuclide ventriculography, and conventional coronary angiography are the imaging modalities historically used in evaluating suspected chronic myocardial ischemia. Stress echocardiography, PET, cardiac MRI, and multidetector cardiac CT have …