MRI Heart with Function and Inotropic Stress There is no relevant literature regarding the use of stress CMR in the evaluation of ACS in high-probability patients. MRI Heart with Function and Vasodilator Stress Perfusion MRI Heart with Function and Vasodilator Stress Perfusion There is no relevant literature regarding the use of stress perfusion CMR in the evaluation of ACS in high- probability patients. Rb-82 PET/CT Heart Rb-82 PET/CT Heart There is no relevant literature regarding the use of stress PET/CT in the evaluation of ACS in high-probability patients. SPECT or SPECT/CT MPI Rest Only There is no relevant literature regarding the use of rest-only MPI in the evaluation of ACS in high-probability patients. Chest Pain-Possible Acute Coronary Syndrome SPECT or SPECT/CT MPI Rest and Stress Noninvasive stress testing with nuclear SPECT-MPI may be helpful in NSTE-ACS patients for risk stratification before discharge in patients with an ischemia-guided strategy. High NSTE-ACS patients (eg, patients with left main disease, age >70, multivessel disease, diabetes mellitus, prior MI or revascularization, or depressed left ventricular function) may benefit from routine revascularization, but low-to intermediate-risk NSTE-ACS patients may receive less benefit from routine revascularization and therefore may benefit from risk stratification according to provocative testing with stress. In particular, nuclear MPI with stress can be used to identify low-risk patients suitable for early discharge [146,147]. US Echocardiography Transthoracic Stress There is no relevant literature regarding the use of stress echocardiography in the evaluation of ACS in high- probability patients.
Chest Pain Possible Acute Coronary Syndrome PCAs. MRI Heart with Function and Inotropic Stress There is no relevant literature regarding the use of stress CMR in the evaluation of ACS in high-probability patients. MRI Heart with Function and Vasodilator Stress Perfusion MRI Heart with Function and Vasodilator Stress Perfusion There is no relevant literature regarding the use of stress perfusion CMR in the evaluation of ACS in high- probability patients. Rb-82 PET/CT Heart Rb-82 PET/CT Heart There is no relevant literature regarding the use of stress PET/CT in the evaluation of ACS in high-probability patients. SPECT or SPECT/CT MPI Rest Only There is no relevant literature regarding the use of rest-only MPI in the evaluation of ACS in high-probability patients. Chest Pain-Possible Acute Coronary Syndrome SPECT or SPECT/CT MPI Rest and Stress Noninvasive stress testing with nuclear SPECT-MPI may be helpful in NSTE-ACS patients for risk stratification before discharge in patients with an ischemia-guided strategy. High NSTE-ACS patients (eg, patients with left main disease, age >70, multivessel disease, diabetes mellitus, prior MI or revascularization, or depressed left ventricular function) may benefit from routine revascularization, but low-to intermediate-risk NSTE-ACS patients may receive less benefit from routine revascularization and therefore may benefit from risk stratification according to provocative testing with stress. In particular, nuclear MPI with stress can be used to identify low-risk patients suitable for early discharge [146,147]. US Echocardiography Transthoracic Stress There is no relevant literature regarding the use of stress echocardiography in the evaluation of ACS in high- probability patients.