All (n = 1361) 2020 (n = 123) 2017–2019 (n = 1238) P value Age (years) 64 ± 11 64 ± 10 64 ± 11 0.14 Male gender, n (%) 439 (32) 29 (24) 410 (33) < .05 Body mass index (kg/m2) 29 ± 5 29 ± 5 29 ± 6 0.43 Chest pain, n (%) 468 (34) 37 (30) 431 (35) 0.29 Diabetes, n (%) 437 (32) 47 (38) 390 (32) 0.12 Dyspnea, n (%) 624 (46) 49 (40) 575 (46) 0.16 Family history, n (%) 729 (54) 60 (49) 669 (54) 0.26 Hypertension, n (%) 1070 (79) 102 (83) 968 (78) 0.22 Hyperlipidemia, n (%) 949 (70) 92 (75) 857 (69) 0.20 Smoking, n (%) 416 (31) 26 (21) 390 (32) < .05 Known CAD, n (%) 593 (44) 52 (42) 541 (44) 0.76 Stress type < .0001   Physical exercise test, n (%) 519 (38) 11 (9) 508 (41)   Pharmacological test, n (%) 842 (62) 112 (91) 730 (59) Abnormal MPI, n (%) 462 (34) 44 (36) 418 (34) 0.65 Total perfusion defect > 10% 246 (53) 27 (61) 219 (52) 0.26