The criteria, which replace a 2009 version, include clinical scenarios written by cardiologists and cardiac surgeons and provide guidance on when to perform revascularization. The updates were motivated by new clinical gaps in data collection and changes in the medical literature.
Specifically, the new criteria changed percutaneous coronary intervention from inappropriate to uncertain for low-burden left main disease and from uncertain to appropriate for low-burden three-vessel disease.
The American College of Cardiology Foundation, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, American Society of Nuclear Cardiology, Heart Failure Society of America and Society of Cardiovascular Computed Tomography jointly developed the criteria.
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