Algorithm showing the European approach to screening for coronary artery disease in masters athletes

CAD: coronary artery disease; ECG: electrocardiogram; CCTA: coronary computed tomographic angiography.

* CAD risk assessment is performed using an appropriate and validated CAD risk estimator. Refer to UpToDate content on CAD risk assessment for available CAD risk calculators.

¶ Choice between stress imaging modalities is based on local availability and expertise.

Δ If CCTA is the initial test and is abnormal, invasive angiography should be performed to confirm CCTA findings and for potential revascularization.

◊ Experts have varying opinions on the frequency of repeat screening, with time frames ranging from 1 to 4 years.