Unstable angina

Screening of asymptomatic population

There is no role for screening tests in low-risk patients. Routine screening with ECG, exercise treadmill test (ETT), or electron beam computed tomography (EBCT) scanning for coronary calcium are not recommended.[58]Montalescot G, Sechtem U, Achenbach S, et al; Task Force Members. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J. 2013 Oct;34(38):2949-3003. https://academic.oup.com/eurheartj/article/34/38/2949/442952 http://www.ncbi.nlm.nih.gov/pubmed/23996286?tool=bestpractice.com [105]US Preventive Services Task Force. Final recommendation statement. Cardiovascular disease risk: screening with electrocardiography. Jun 2018 [internet publication]. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/cardiovascular-disease-risk-screening-with-electrocardiography

At present there is insufficient evidence to recommend for or against routine screening with ECG, ETT, or EBCT scanning for either the presence of severe coronary artery disease (CAD) or prediction of CAD in adults at increased risk of CAD events.[105]US Preventive Services Task Force. Final recommendation statement. Cardiovascular disease risk: screening with electrocardiography. Jun 2018 [internet publication]. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/cardiovascular-disease-risk-screening-with-electrocardiography

For individuals in certain occupations, such as pilots, public transport operators, or heavy machine operators (for whom sudden incapacitation or death may endanger safety of others), considerations other than health benefit to the individual patient may influence the decision to screen for CAD.