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Fig. 2 —Decision pathway for patients with low-risk chest pain
presenting to emergency department and managed under CT coronary angiography
algorithm. CABG = coronary artery bypass graft, Cath + = coronary
catheterization reveals significant stenosis, Cath – = coronary
catheterization reveals mild or no stenosis, CTCA ++ = CT coronary angiography
positive for significant stenosis, CTCA + = CT coronary angiography positive
for mild stenosis, CTCA – = CT coronary angiography negative for any
atherosclerosis, LM = left main artery disease, n-v =
n-vessel disease, PCI = percutaneous coronary intervention,
Trop/Stress test + = troponin elevated or stress test positive for ischemia,
Trop/Stress test – = troponin normal and stress test negative for
ischemia.