Coronary Artery Disease

 No Known CAD

PSWs whose 10-year cardiovascular risk <10% (or 2-year cardiovascular risk is <2%) require no restrictions.

PSWs whose 10-year cardiovascular risk ≥10% (or 2-year cardiovascular risk is ≥2%) should be further evaluated using a symptom-limited imaging EST:

• PSWs with normal symptom-limited imaging EST reaching 85% of maximum predicted heart rate, defined as 220 minus age in years,3 require no restrictions
• PSWs with a non-diagnostic EST (not reaching 85% of maximum predicted heart rate) require further evaluation
  • Other cardiac evaluations (e.g., chemical stress test)
  • Evaluation for potential non-cardiac reasons limiting exercise
• PSWs with an abnormal stress test (such as arrhythmias, reversible ischemia, or abnormal blood pressure response) should be provided with restrictions and referred for further evaluation by a cardiologist

PSWs with a 10-year cardiovascular risk ≥10% (or 2-year cardiovascular risk is ≥2%) should not be reassessed in the future with a cardiovascular risk calculator. The Task Group consensus is that they should be evaluated with an imaging EST every 2 to 3 years.