Identifying pts for angiography and revascularization in chronic coronary syndrome (CCS)

The patient’s clinical characteristics and the results of noninvasive testing are used to identify patients likely to benefit from coronary angiography followed by revascularization of appropriate lesions. In patients with chronic coronary syndrome (CCS), also referred to as stable ischemic heart disease (SIHD), there are two primary indications for this: ​ ● Angina that significantly interferes with a patient's lifestyle despite maximal tolerable medical therapy. ● Patients with clinical characteristics and results of noninvasive testing that indicate a high likelihood of severe ischemic heart disease (eg, imaging or strongly positive treadmill test suggesting a large amount of viable myocardium at risk). ​ Additionally, patients with depressed left ventricular systolic function (ejection fraction <50 percent) and moderate risk criteria on noninvasive testing with demonstrable ischemia may benefit from coronary angiography. ​ REF. UpToDate 2020.12.06

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