The American College of Cardiology (ACC) and the American Heart Association (AHA) first published guidelines for coronary angiography in 1987. These were updated in 1999, in collaboration with the Society for Cardiac Angiography and Interventions. Although these guidelines have not been revised since then, recommendations for the use of coronary angiography are included in several more recent practice guidelines, including those for stable angina, unstable angina and non–ST elevation myocardial infarction, acute ST elevation myocardial infarction, noncardiac surgery,[6,7] heart failure, and valvular disease. The text and tables that follow present an amalgam of recommendations from the 1999 ACC/AHA coronary angiography guidelines and from more recent condition-specific guidelines.
Like other ACC/AHA guidelines, these use the standard ACC/AHA classification system for indications:
|Class I: conditions for which there is evidence and/or …|