Question

A 60-year-old man living in a rural town 300 km from the nearest tertiary centre presents to his GP with chronic stable angina controlled on medications. The GP considers non-invasive testing. According to rural and remote practice principles, what is the most appropriate strategy?

Accepted Answer

Arrange exercise stress testing locally if available and refer to a cardiologist only if the test is positive or symptoms change

Answer

Refer all rural patients with angina to a metropolitan cardiology clinic regardless of symptom control

Answer

Arrange coronary CT angiography for all patients with angina

Answer

Continue current therapy with no further assessment as access is limited

Answer

Advise the patient to present to the tertiary ED for any chest discomfort without local follow-up

Practice question

A 60-year-old man living in a rural town 300 km from the nearest tertiary centre presents to his GP with chronic stable angina controlled on medications. The GP considers non-invasive testing. According to rural and remote practice principles, what is the most appropriate strategy?