Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Canada
●Choosing Wisely Canada: Don't perform stress cardiac imaging or advanced non-invasive imaging in the initial evaluation of patients without cardiac symptoms unless high-risk markers are present (2021)
●Choosing Wisely Canada: Don't perform annual stress cardiac imaging or advanced non-invasive imaging as part of routine follow-up in asymptomatic patients (2021)
●Choosing Wisely Canada: Don't perform stress cardiac imaging or advanced non-invasive imaging as a pre-operative assessment in patients scheduled to undergo low-risk non-cardiac surgery (2021)
●Choosing Wisely Canada: Don't order annual electrocardiograms (ECGs) for low-risk patients without symptoms (2021)
●Choosing Wisely Canada: Don't transfuse red blood cells for arbitrary hemoglobin or hematocrit thresholds in the absence of symptoms, active coronary disease, heart failure or stroke (2021)
●Choosing Wisely Canada: Don't order screening chest X-rays and ECGs for asymptomatic or low risk outpatients (2020)
●Choosing Wisely Canada: Don't perform cardiac stress testing for asymptomatic patients undergoing low to intermediate risk non-cardiac surgery (2020)
●Canadian Cardiovascular Society (CCS)/Canadian Association of Interventional Cardiology (CAIC)/Canadian Society of Cardiac Surgery (CSCS): Position statement on revascularization − Multivessel coronary artery disease (2014)
●CCS: Guidelines for the diagnosis and management of stable ischemic heart disease (2014)
●CCS: 2013 heart failure management guidelines update − Focus on rehabilitation and exercise and surgical coronary revascularization (2014)
●CCS/Canadian Pain Society (CPS): Joint guidelines for the management of patients with refractory angina (2012)
United States
●American College of Radiology (ACR): ACR Appropriateness Criteria on asymptomatic patient at risk for coronary artery disease, update (2021)
●ACR: ACR Appropriateness Criteria on acute nonspecific chest pain-low probability of coronary artery disease (2020)
●American Heart Association (AHA): Scientific statement on clinical management of stable coronary artery disease in patients with type 2 diabetes mellitus (2020)
●ACR: ACR Appropriateness Criteria on chest pain – Possible acute coronary syndrome (2019)
●ACR: ACR Appropriateness Criteria on chronic chest pain – Noncardiac etiology unlikely: Low to intermediate probability of coronary artery disease (2018)
●Society of Cardiovascular Computer Tomography (SCCT): An expert consensus document on CAC-DRS − Coronary artery calcium data and reporting system (2018)
●American College of Cardiography (ACC)/American Association for Thoracic Surgery (AATS)/AHA/American Society of Echocardiography (ASE)/American Society of Nuclear Cardiology (ASNC)/Society of Cardiovascular Computer Tomography (SCAI)/SCCT/Society of Thoracic Surgeons (STS): Appropriate use criteria for coronary revascularization in patients with stable ischemic heart disease (2017)
●ACC/AATS/AHA/ASE/ASNC/SCAI/SCCT/STS: Appropriate use criteria for coronary revascularization in patients with acute coronary syndromes (2017)
●ASNC: Consensus statement on myocardial perfusion imaging in women for the evaluation of stable ischemic heart disease − State-of-the-evidence and clinical recommendations (2017)
●ACC/AHA: Guideline on duration of dual antiplatelet therapy in patients with coronary artery disease, focused update (2016)
●ACR: ACR Appropriateness Criteria on chronic chest pain – High probability of coronary artery disease (2016)
●ASNC: Imaging guidelines for SPECT nuclear cardiology procedures − Stress, protocols, and tracers (2016)
●ASNC/Society of Nuclear Medicine and Molecular Imaging (SNMMI): Joint position statement on the clinical indications for myocardial perfusion PET (2016)
●SCCT, ACR, and the North American Society for Cardiovascular Imaging (NASCI): Coronary Artery Disease − Reporting and Data System (CAD-RADS) (2016)
●AHA, ACC, and American Society of Hypertension (ASH): A scientific statement for the treatment of hypertension in patients with coronary artery disease (2015)
●AHA: A consensus statement on the role of noninvasive testing in the clinical evaluation of women with suspected ischemic heart disease (2014)
●American College of Cardiology Foundation (ACCF)/AHA/AATS/Preventive Cardiovascular Nurses Association (PCNA)/SCAI/STS: Guidelines for the diagnosis and management of patients with stable ischemic heart disease, focused update (2014)
•ACCF/AHA/American College of Physicians (ACP)/AATS/ PCNA/SCAI/STS: Guideline for the diagnosis and management of patients with stable ischemic heart disease (2012)
●ACCF/AHA/ASE/ASNC/Heart Failure Society of America (HFSA)/HRS/SCAI/SCCT/Society for Cardiovascular Magnetic Resonance (SCMR)/STS: 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease (2014)
●Choosing Wisely: Avoid coronary angiography for risk assessment in patients with stable ischemic heart disease (SIHD) who are unwilling to undergo revascularization or who are not candidates for revascularization based on comorbidities or individual preferences (2014)
●Choosing Wisely: Don't perform routine annual stress testing after coronary artery revascularization (2013)
●SNMMI/ASNC/SCCT: Guideline for cardiac SPECT/CT and PET/CT 1.0 (2013)
●ACCF/SCAI/STS/AATS/AHA/ASNC/HFSA/SCCT: Appropriate use criteria for coronary revascularization, focused update (2012)
Europe
●European Association of Percutaneous Cardiovascular Interventions (EAPCI): Expert consensus document on ischaemia with non-obstructive coronary arteries (2020)
●European Society of Cardiology (ESC): Guidelines on chronic coronary syndromes (2019)
●ESC/European Association for Cardio-Thoracic Surgery (EACTS): Guidelines on myocardial revascularization (2018)
United Kingdom
●National Institute for Health and Care Excellence (NICE): Interventional procedures guidance on bioresorbable stent implantation for treating coronary artery disease (2022)
●NICE: Guideline on acute coronary syndromes (2020)
●Scottish Intercollegiate Guidelines Network (SIGN): A national clinical guideline on management of stable angina (2018)
●NICE: Quality standard on stable angina (2012, updated 2017)
●SIGN: A national clinical guideline on cardiac rehabilitation (2017)
●NICE: Clinical guideline on chest pain of recent onset − Assessment and diagnosis (2010, updated 2016)
●NICE: Clinical guideline on stable angina − Management (2011, updated 2016)
Australia-New Zealand
●The Cardiac Society of Australia and New Zealand (CSANZ): Coronary artery calcium scoring − Position statement (2017)
●CSANZ: Safety and performance guidelines for clinical exercise stress testing (2010)
Japan
●[In Japanese] Japanese Circulation Society (JCS): Guideline on antithrombotic therapy in patients with coronary artery disease, focused update (2020)
●[In Japanese] JCS: Guideline on diagnosis of chronic coronary heart diseases (2018)
●[In Japanese] JCS: Guideline on revascularization of stable coronary artery disease (2018)
●[In Japanese] JCS: Guidelines for diagnosis and treatment of patients with vasospastic angina (coronary spastic angina) (2013)
●[In Japanese] JCS: Guidelines for the primary prevention of ischemic heart disease, revised version (2012)
