Table 3

Most common overall and rarely appropriate MPI indications

RanknAUC versionIndication*RatingDescription
Most common test indications overall
1163201364APostrevascularisation with ischaemic equivalent
212120133ASymptomatic with intermediate pretest CAD risk and able to exercise
312820099AAcute chest pain, possible ACS, high TIMI risk, negative troponin
47620098AAcute chest pain, possible ACS, low TIMI risk, negative troponin
55920134ASymptomatic with intermediate pretest CAD risk and unable to exercise
645201358ANon-obstructive CAD on coronary angiography
719201324AAbnormal ECG with intermediate/high CAD risk
819201325AAbnormal exercise ECG test
915201374MPoor/unknown functional capacity, intermediate risk surgery ≥1 risk factor
1014201376APoor/unknown functional capacity, kidney transplant evaluation
Most common rarely appropriate indications
1820138RAsymptomatic with intermediate pretest CAD risk and able to exercise
23201371RModerate or good functional capacity prior to any surgery
32201367RAsymptomatic and <5 years after coronary bypass surgery
  • *Indication is the number assigned of the individual AUC clinical scenario described in the table.

  • †The remainder of rarely appropriate tests were each ordered only once.

  • ACS, acute coronary syndrome; AUC, Appropriate Use Criteria; CAD, coronary artery disease; TIMI, thrombolysis in myocardial infarction.