Appropriate Use Criteria for Investigations and Revascularization in CAD 2015 (1st edition)

Cardiovascular Disease remains an important cause of mortality in Malaysia, accounting for 20-25% of all deaths in public hospitals. In Malaysia, patients with coronary artery disease (CAD) present at a mean age of 59 ± 12 years, 6 years younger than those in the Global Registry of Acute Coronary Events (GRACE). More importantly, Malaysian patients have high prevalence of cardiovascular risk factors.

The Ministry of Health (MOH) welcomes and supports the initiatives taken by National Heart Association of Malaysia (NHAM) to introduce the Appropriate Use Criteria (AUC) for management of CAD. This AUC document has been developed as a supplement to the Clinical Practice Guidelines (CPG) on the Management of Stable Coronary Artery Disease (CAD), Management of Unstable Angina/Non ST Elevation Myocardial Infarction (UA/NSTEMI), Management of ST Elevation Myocardial Infarction (STEMI) and Percutaneous Coronary Intervention (PCI). The development of this AUC aims to ensure that procedures are performed for appropriate indications, improve the physician’s decision-making and educate patients on the expected benefits of the individual procedures. It combines the latest scientific evidence and the clinical judgement of a number of experts in utilizing tests and treatment options in a variety of clinical scenarios that are encountered in daily practice. Its rating is based on an average patient presenting to an average physician who would recommend or perform the procedure in an average hospital.

I congratulate the panel and NHAM for the development and publication of this AUC on management of CAD. These efforts and contributions would definitely bring a great impact on the future management of cardiovascular disease in this nation. Last but not the least, I believe that the ultimate objective of any healthcare provider is not solely to save lives – but rather to save the future that one life can bring. Our goal is not restricted to the idea of restoring the physical capacity of our patients – but we hope to walk the extra mile for the patients’ continuous, consistent, long-term well-being.

Datuk Dr. Noor Hisham Abdullah
Director General of Health Malaysia
Ministry of Health Malaysia


Period of validity
This AUC document was issued in 2015 and will be reviewed in 5 years or sooner as necessary


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