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Health Care Guideline Stable Coronary Artery Disease

This guideline applies to patients with coronary artery disease either with or without angina. The population of patients with chronic coronary disease includes patients with stable angina, prior myocardial infarctions, prior percutaneous revascularization, coronary artery bypass graft (CABG), angiographically proven coronary atherosclerosis, or reliable non-invasive evidence of myocardial ischemia. Historically, the angiographic diagnosis was made by visualization of at least moderate to severe coronary stenosis on
invasive coronary angiogram. With recent advances of non-invasive coronary imaging with computed tomography angiography (CTA), extrapolation of previous definition of significant coronary stenosis to CTA became widely accepted. It has been clearly demonstrated that the burden of coronary atherosclerosis appreciated on CT angiography parallels clinical outcomes.