Cardiac Algorithm - Step 7

Perform non-invasive testing (e.g. exercise or pharmacologic stress testing) for coronary ischemia (ACC IIa).

What is the result?

Normal
  • –
    Non-emergency surgery
  • –
    No acute coronary syndrome
  • –
    Elevated risk surgery
  • –
    Poor/unknown functional capacity
  • –
    Normal stress test
  • –
    Proceed to operating room
Abnormal
  • -
    Non-emergency surgery
  • -
    No acute coronary syndrome
  • -
    Elevated risk surgery
  • -
    Poor/unknown functional capacityAbnormal stress test
  • -
    Consider angiography and revascularization depending on extent of abnormal test (ACC I)
  • -
    Then proceed to operating room according to guideline, with attention to timing of surgery after a cardiac intervention as best as possible, see Timing section