A 50-year-old man presents with exertional chest discomfort. Resting ECG is normal. His pre-test probability of coronary artery disease is intermediat...

Question

A 50-year-old man presents with exertional chest discomfort. Resting ECG is normal. His pre-test probability of coronary artery disease is intermediate. According to CCS chronic coronary syndrome guidelines, what is the most appropriate initial non-invasive test?

Accepted Answer

Exercise treadmill ECG stress test if he can exercise adequately

Answer

Transthoracic echocardiogram only

Answer

Invasive coronary angiography in all intermediate-risk patients

Answer

Cardiac CT angiography as a first-line test regardless of exercise capacity

Answer

No further testing is needed

ca-mccqe1 MCQ (SBA): Stable angina diagnostic approach

A 50-year-old man presents with exertional chest discomfort. Resting ECG is normal. His pre-test probability of coronary artery disease is intermediate. According to CCS chronic coronary syndrome guidelines, what is the most appropriate initial non-invasive test?