Indications for cardiac imaging in the ESC 2024 guidelines

Pre-test likelihoodImaging testCoRLoE
AnyResting TTE1B
Very low (< 5%)Only exercise ECG1C
Low (5–50%)CCTA1A
Moderate-high (> 15–80%)SE1B
Moderate-high (> 15–80%)SE + CFVR2B
Moderate-high (> 15–80%)Stress PET, SPECT; CMR 1B
High (> 80%)ICA1C

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