IBU/APS Selection Guidelines 5/14/2024 These guidelines provide assistance in selecting when an IBU interview or an APS is most appropriate. First select a CLASSIFICATION in the left column. Then select a SUBCATEGORY from the middle column. IBU/APS selection guidelines are presented in the RECOMMENDATIONS column. CARDIOLOGY CARDIOLOGY CONNECTIVE TISSUE DISEASES DERMATOLOGY EAR, EYE, NOSE AND THROAT ENDOCRINOLOGY GASTROENTEROLOGY GENITOURINARY GYNECOLOGY HEMATOLOGY MISCELLANEOUS NEUROLOGY PSYCHIATRY PULMONARY RHEUMATOLOGY VASCULAR Chest Pain Angina Pectoris Angioplasty (PTCA) Aortic Regurgitation/Stenosis Arrhythmia Atrial Fibrillation/Flutter Bypass (CABG or Femoral) Cardiac Catherization Cardiomegaly Cardiomyopathy Chest Pain Congenital Heart Disease Congenital Heart Disorders Congestive Heart Failure CHF Echocardiogram Endocarditis Holter Monitor Hypertension Hypertrophy Mitral Regurg/Stenosis Mitral Valve Prolapse (MVP) Murmur Myocardial Infarction Myocarditis Pacemaker Pericarditis PVC Stress Test CARDIOLOGY → Chest Pain Order an IBU unless any of the following are disclosed: - Post menopausal women - Smokers over the age of 40 with symptoms in the past 2 years - Nonsmoking males > 50 with symptoms in the past 2 years - Known Diabetes or PVD history - Several significant CV risk factors present on exam - -- If Catheterization has been done, see that section for guidelines - If known cause, see specific impairment for guidelines © IBU, Inc. 2024 • 157 Church Street, 19th Floor • New Haven, CT 06510 • 877-203-4592