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Table 1 High graded 2014 ESC/EACTS Guidelines on myocardial revascularization for Interventional Coronary Angiography and Percutaneous Coronary Intervention indications

From: Development and evaluation of the accuracy of an indicator of the appropriateness of interventional cardiology generated from a French registry

Guidelines issues

Recommendation

Class/Level

Indication of ICA

LVEF < 50% and either typical angina or PTP > 85% without prior non-invasive tests

IA

Results of non-invasive testing were in favor of an ischemia and the PTP was between 15 and 85%

IA

Indication of revascularization for prognosis

A left main disease with stenosis > 50%,

IA

Any proximal left anterior descending coronary artery stenosis > 50%

IA

Two-vessel or three-vessel disease with stenosis > 50% with impaired LV function (LVEF < 40%)

IA

Indication of revascularization for symptoms

Any coronary stenosis > 50% in the presence of limiting angina or angina equivalent, unresponsive to medical therapy

IA

Non-indication of a PCI but recommendation of a CABG when a revascularization is recommended

Left main disease with a SYNTAX score > 32

IIIB

Three-vessel disease with a SYNTAX score > 23

IIIB

  1. CABG Coronary Artery Bypass Graft, ICA Interventional Coronary Angiography, PCI Percutaneous Coronary Intervention