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Stable angina — MCCQE Part 1 MCQ

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EasyChest PainStable anginaMCCQE Part 1

A 65-year-old man with no cardiac history has exertional chest discomfort x 3 weeks, occurs with moderate exertion, resolves with rest in 5 min. Normal resting ECG. Most appropriate next investigation?

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Correct answer: C — Exercise stress test (treadmill ECG)

Stable angina in intermediate-risk patient who can exercise with normal resting ECG: exercise stress test is initial non-invasive investigation (CCS). Coronary CTA acceptable if cannot exercise.

Reference: CCS Stable Ischaemic Heart Disease