Cardiology>>>>>Ischaemic heart disease
Question 4#

You review a 55-year-old woman in clinic who has been referred by her GP with recent chest pains. You feel that the nature of the pains is atypical for ischaemia although they are reproduced with exertion. She has no identifiable risk factors for ischaemic heart disease and the resting ECG is normal.
What would you recommend?

a. CT coronary angiogram
b. Reassure—no further tests required
c. Invasive coronary angiogram
d. Exercise treadmill test
e. Myocardial perfusion scan

Correct Answer is A


This patient has a low probability of coronary disease (10–29%) but may have atypical angina. CT coronary angiogram is the best rule out test.