A 56-year-old man with exertional chest pain has symptoms highly suggestive of stable angina. He has a normal baseline ECG, no red flags, can exercise...

Question

A 56-year-old man with exertional chest pain has symptoms highly suggestive of stable angina. He has a normal baseline ECG, no red flags, can exercise and has an intermediate pre-test probability of coronary artery disease. Which is the most appropriate initial non-invasive investigation in this context?

Accepted Answer

Exercise treadmill stress test without imaging

Answer

Coronary CT angiography

Answer

PET myocardial perfusion scan

Answer

Invasive coronary angiography

Answer

No testing and start empiric long-acting nitrate therapy only

ca-mccqe1 MCQ (SBA): Stable angina