These disparities have been observed with regard to cardiac procedures as well as access to cardiologists.1212 Moreover, African Americans and Hispanics are 10% to 40% less likely to receive outpatient secondary prevention therapies for cardiovascular disease.1213 Although lower rates of diagnostic and interventional services have not been adequately ex- plained,1214,1215 it is clear that individuals of lower socioeco- nomic status and ethnic minorities typically have fewer healthcare resources, have worse general health and cardiac risk profiles, and are less knowledgeable about SIHD symp- toms. Healthcare providers and systems should strive to eliminate or ameliorate barriers to care for patients who have SIHD and are of low socioeconomic class or ethnic minorities. 5.12.9. Special Occupations Although not recommended for the general population, rou- tine surveillance with functional testing is recommended in a few occupations in which the presence of even asymptomatic cardiac disease could endanger others, such as commercial pilots, police, firefighters, and bus drivers. The general parameters of test performance noted above apply in these circumstances, with the caveat that most of these individuals are at low risk and therefore could be more likely to have false positive results. 6. Patient Follow-Up: Monitoring of Symptoms and Antianginal Therapy The goals of clinical follow-up of patients with SIHD are to maximize function and to minimize long-term mortality and morbidity. In this context, the primary goal of follow-up testing should be to reassess residual or new ischemic burden in the setting of persistent or worsening (but not unstable) symptoms. Thus, follow-up assessment and testing will vary according to the clinical status of the patient and with the evolution of evidence-based practice. Unnecessary testing should be avoided. 