Indications for cardiac imaging in the ESC 2024 guidelines
| Pre-test likelihood | Imaging test | CoR | LoE |
|---|---|---|---|
| Any | Resting TTE | 1 | B |
| Very low (< 5%) | Only exercise ECG | 1 | C |
| Low (5–50%) | CCTA | 1 | A |
| Moderate-high (> 15–80%) | SE | 1 | B |
| Moderate-high (> 15–80%) | SE + CFVR | 2 | B |
| Moderate-high (> 15–80%) | Stress PET, SPECT; CMR | 1 | B |
| High (> 80%) | ICA | 1 | C |
ESC: European Society of Cardiology; CoR: class of recommendation; LoE: level of evidence; TTE: transthoracic echocardiography; ECG: electrocardiogram; CCTA: coronary computed tomography angiography; SE: stress echocardiography; CFVR: coronary flow velocity reserve; PET: positron emission tomography; SPECT: single photon emission computed tomography; CMR: cardiac magnetic resonance; ICA: invasive coronary angiography