Question

A 45-year-old woman presents with episodic chest tightness brought on by brisk walking in cold weather, relieved by rest within 5 minutes. ECG at rest is normal and examination is unremarkable. Which is the most appropriate next investigation to confirm the diagnosis?

Accepted Answer

Exercise treadmill stress test

Answer

Coronary CT angiography

Answer

Coronary angiography

Answer

No further testing is required; treat as non-cardiac chest pain

Answer

Immediate thrombolysis

Practice question

A 45-year-old woman presents with episodic chest tightness brought on by brisk walking in cold weather, relieved by rest within 5 minutes. ECG at rest is normal and examination is unremarkable. Which is the most appropriate next investigation to confirm the diagnosis?