A 59-year-old woman with obesity, well-controlled hypertension and dyslipidaemia presents with intermittent central chest discomfort when she walks qu...

Question

A 59-year-old woman with obesity, well-controlled hypertension and dyslipidaemia presents with intermittent central chest discomfort when she walks quickly uphill. Resting ECG is normal. Her pretest probability of coronary artery disease is intermediate. According to Canadian practice, what is the most appropriate next investigation?

Accepted Answer

Exercise treadmill stress test without imaging

Answer

Coronary CT angiography as first-line

Answer

Immediate invasive coronary angiography

Answer

Coronary artery calcium score only

Answer

No testing; reassure and follow-up in 1 year

ca-mccqe1 MCQ (SBA): Stable angina