American College of Cardiology

View all recommendations from this society

Released April 4, 2012; updated September 22, 2014

In response to new science showing that complete revascularization of all significantly blocked arteries leads to better outcomes in some heart attack patients, the American College of Cardiology (ACC) has withdrawn its Choosing Wisely recommendation that patients and caregivers examine whether this practice is truly necessary.

Read the complete statement from ACC on this recommendation.

These items are provided solely for informational purposes and are not intended as a substitute for consultation with a medical professional. Patients with any specific questions about the items on this list or their individual situation should consult their physician.

How The List Was Created

The American College of Cardiology (ACC) formed a Choosing Wisely workgroup of member leaders from the Board of Governors, subspecialty experts, and health policy specialists. The workgroup was tasked with identifying five clinical scenarios where specific tests, treatments, or procedures should be avoided for lack of benefit. These five recommendations were pulled from ACC’s existing appropriate use criteria (AUC) and clinical practice guidelines, selecting items that were either Rarely Appropriate AUC indications or Class III guideline recommendations. The ACC’s Clinical Policy Approval Committee and Science & Quality Committee then reviewed and approved the final five items.

ACC’s disclosure and conflict of interest policy can be found at