Question

A 58-year-old man presents to his GP with central, crushing chest pain on exertion. The pain typically lasts for 5 minutes and is relieved by rest. He has hypertension and type 2 diabetes. His ECG is normal at rest. What is the most appropriate first-line investigation according to NICE guidelines?

Accepted Answer

CT coronary angiography

Answer

Exercise tolerance test

Answer

Invasive coronary angiography

Answer

Myocardial perfusion scan

Answer

D-dimer

Practice question

A 58-year-old man presents to his GP with central, crushing chest pain on exertion. The pain typically lasts for 5 minutes and is relieved by rest. He has hypertension and type 2 diabetes. His ECG is normal at rest. What is the most appropriate first-line investigation according to NICE guidelines?