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Urgent inpatient or outpatient (to be performed upon request): Inpatient or outpatient with a clinical scenario suggesting a moderate to high likelihood of short-term major adverse cardiac events, in whom the results of testing would have high likelihood of modifying management Higher priority (deferred for 1–2 months): Inpatient or outpatient who meets AUC criteria for testing, but with a clinical scenario suggesting a low likelihood for short-term major adverse cardiac events Lower priority (deferred for 2–4 months): Outpatient, who meets AUC criteria for testing, and who is clinically stable, expected to have normal or low-risk findings that would not be expected to affect short-term management. Some examples are pre-operative testing for elective surgery; surveillance testing such as in asymptomatic patients with prior history of PCI or CABG, a patient already on class 1C antiarrhythmic, a patient post cardiac transplant; asymptomatic patient with an elevated coronary artery calcium score Elective (deferred for 4–6 months): Screening or wellness tests such as coronary artery calcium scans and treadmill exercise tests Parameter for monitoring Impact on laboratory policies Decreased laboratory personnel availability Reduce hours of operation Decreased availability of PPE and COVID-19 testing Reduce hours of operation Increased test duration (including cleaning) Adjust the patient scheduling template Increased or pending orders for cardiac imaging procedures Increase hours of operation
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