Do not request routine coronary angiography in all patients with heart failure with reduced systolic function, asymptomatic for angina pectoris, and without signs of inducible ischemia, with low pretest probability of coronary artery disease or in the absence of known anatomy favorable to further revascularization.

Do not request routine coronary angiography in all patients with heart failure with reduced systolic function, asymptomatic for angina pectoris, and without signs of inducible ischemia, with low pretest probability of coronary artery disease or in the absence of known anatomy favorable to further revascularization.

Type of practice

Imaging

Age

Adult, Geriatric

Topic Area

Cardiology

Coronary angiography may be considered in patients with heart failure with reduced ejection fraction with an intermediate-high pre-test probability of coronary artery disease, in the presence of inducible ischemia, and in the presence of coronary anatomy favorable to revascularization.

 

Sources

1. Ferreira JP, Rossignol P, Demissei B, et al. Coronary angiography in worsening heart failure: determinants, findings and prognostic implications. Heart 2018;104:606-613. doi: 10.1136/heartjnl-2017-311750.
2. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J 2021;42:3599- 3726 doi: 10.1093/eurheartj/ehab368.
3. Perera D, Clayton T, O’Kane PD, et al.; REVIVED-BCIS2 Investigators. Percutaneous revascularization for ischemic left ventricular dysfunction. N Engl J Med 2022;387:1351-1360 doi:10.1056/NEJMoa2206606.

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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.