What test methods are recommended for noninvasive testing in known SIHD asymptomatic (or stable symptoms) patients?
Exercise or pharmacological stress with nuclear MPI, Echo, or CMR at $2-y intervals is recommended for patients with prior evidence of silent ischemia or high risk for recurrent cardiac event. For annual surveillance, exercise or pharmacological stress with nuclear MPI, Echo, or CMR or CCTA should be used. Exercise ECG at $1-y intervals is recommended for patients with any prior evidence of silent ischemia OR at high risk for recurrent cardiac event. Exercise ECG should be used for annual surveillance for patients with no prior evidence of silent ischemia and not at high risk of recurrent cardiac event.