Do not request inductive ischemia testing (stress test and other inductive ischemia tests) as a routine check-up in asymptomatic patients who have undergone surgical or percutaneous revascularization within 2 years from the procedure.

Do not request inductive ischemia testing (stress test and other inductive ischemia tests) as a routine check-up in asymptomatic patients who have undergone surgical or percutaneous revascularization within 2 years from the procedure.

Type of practice

Cardiological tests

Age

Adult, Geriatric

Topic Area

Cardiology

There are no data to support that early diagnosis of silent ischemia improves patient outcomes or that repeat guided by ischemia testing revascularization reduces mortality.

Sources

1. Neumann FJ, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J 2019;40:87-165. doi: 10.1093/eurheartj/ehy394.
2. Rossini R, Oltrona Visconti L, Musumeci G, et al. A multidisciplinary consensus document on follow-up strategies for patients treated with percutaneous coronary intervention. Catheter Cardiovasc Interv 2015;85:E129-39. doi: 10.1002/ccd.25724.
3. Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes: the Task Force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC). Eur Heart J 2020;41:407-477. doi: 10.1093/eurheartj/ehz425
4. Rossini R, Oltrona Visconti L, Musu meci G, et al. A multidisciplinary consensus document on follow-up strategies for patients treated with percutaneous coronary intervention. Catheter Cardiovasc Interv 2015;85:E129-39. doi: 10.1002/ccd.25724.

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Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.