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ISCHEMIA Trial - Management Algorithm for patients with Stable Angina Stress Test -> ? +moderate or severe ischemia -> Coronary CTA (making clear to patient that you primarily seek to evaluate LMCA) -> ? +significant LMCA lesion -> Cardiac Catheterization with intent for revascularization (PCI vs CABG). Since this may be reaching some who are unfamiliar with the ISCHEMIA trial, I want to emphasize: this is for the outpatient with a stable symptom. This is not for acute coronary syndrome (ACS) evaluation or management. Based on results of ISCHEMIA trial 2019 - https://www.ischemiatrial.org/ By Dr. Francis Alenghat @ https://twitter.com/alenghat/ #ISCHEMIA #Stable #Angina #ChestPain #Diagnosis #Management #Algorithm #Cardiology #EBM #Trial