1.1 | MPS using single photon emission computed tomography (SPECT) is recommended for the diagnosis of suspected coronary artery disease (CAD) in the following circumstances: |
| • As the initial diagnostic tool for people with suspected CAD for whom stress electrocardiography poses particular problems of poor sensitivity or difficulties in interpretation, including women, patients with cardiac conduction defects (for example, left bundle branch block), and people with diabetes, and for people for whom treadmill exercise is difficult or impossible |
| • As part of an investigational strategy for the diagnosis of suspected CAD in people with lower likelihood of CAD and of future cardiac events. The likelihood of CAD will be based on the assessment of a number of risk factors including age, gender, ethnic group, family history, associated co-morbidities, clinical presentation, physical examination, and results from other investigations (for example, blood cholesterol values or resting ECG) |
1.2 | MPS using SPECT is recommended as part of the investigational strategy in the management of established CAD in people who remain symptomatic following myocardial infarction or reperfusion interventions |