Table 4 Recommendations for CMR in the guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
Recommendation | Class | Level |
|---|---|---|
Recommendations for stress imaging | ||
Stress imaging is recommended before high-risk elective non-cardiac surgery in patients with poor functional capacity and high likelihood of coronary artery disease or high clinical risk | I | B |
Stress imaging should be considered before high-risk non-cardiac surgery in asymptomatic patients with poor functional capacity, and previous percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) | IIa | C |
Stress imaging may be considered before intermediate-risk non-cardiac surgery when ischemia is of concern in patients with clinical risk factors and poor functional capacity | IIb | B |
Stress imaging is not recommended routinely before non-cardiac surgery | III | C |