QuestionSBA
QuestionChoice
This patient has stable angina; a stress echocardiogram can be used as a 2nd line investigation if the results of a CTCA are not diagnostic.
10001484
c
Stress echocardiography
QuestionChoice
This patient has stable angina as indicated by the constriction-like chest pain brought on by exertion and relieved by rest. The first-line diagnostic investigation is CTCA.
10001482
a
CT coronary angiogram (CTCA)
QuestionChoice
This patient has stable angina; a myocardial perfusion scan can be used as a 2nd line investigation if the results of a CTCA are not diagnostic.
10001486
e
Myocardial perfusion scan
QuestionChoice
Based on the normal troponin levels and chest pain exacerbated by exercise and relieved by rest, it is likely that this patient has stable angina. An ECG would not be useful in confirming the diagnosis of stable angina.
10001483
b
ECG
QuestionChoice
A chest x-ray would not provide a view of the heart with enough detail to be able to diagnose stable angina.
10001485
d
Chest x-ray
Concept
Chapter
2693
3721
Stable angina
Topic
134
Cardiology
12843
A 45-year-old male presents to his GP with a 6-month history of intermittent chest pain. He describes the pain as 'chest tightening' and explains that it is triggered on exertion and relieved by rest. He is referred to A&E where blood tests reveal a normal troponin.

Based on the most likely diagnosis, what is the first-line diagnostic investigation to request?
a