A 59-year-old woman presents with chest pain that occurs predictably with exertion and resolves with rest. Resting ECG is normal. She can climb two fl...

Question

A 59-year-old woman presents with chest pain that occurs predictably with exertion and resolves with rest. Resting ECG is normal. She can climb two flights of stairs before developing symptoms. What is the most appropriate initial diagnostic test to evaluate for obstructive coronary artery disease?

Accepted Answer

Exercise treadmill ECG stress test

Answer

Resting echocardiography without stress

Answer

Invasive coronary angiography without prior noninvasive testing

Answer

Coronary CT angiography in all stable patients

Answer

No diagnostic testing; start empiric anticoagulation

us-abim MCQ (SBA): Stable Angina

A 59-year-old woman presents with chest pain that occurs predictably with exertion and resolves with rest. Resting ECG is normal. She can climb two flights of stairs before developing symptoms. What is the most appropriate initial diagnostic test to evaluate for obstructive coronary artery disease?