Question

A 63-year-old man presents to his GP with exertional central chest tightness that reliably occurs when he walks uphill and is relieved by rest. It has been stable for 3 months. Resting ECG is normal. What is the most appropriate next step in management?

Accepted Answer

Refer to a specialist chest pain clinic to investigate for stable angina

Answer

Reassure that symptoms are non-cardiac and discharge from follow-up

Answer

Arrange urgent emergency department referral as suspected acute coronary syndrome

Answer

Start high-dose Atorvastatin without further assessment

Answer

Order a chest X-ray to investigate the cause of pain

Practice question

A 63-year-old man presents to his GP with exertional central chest tightness that reliably occurs when he walks uphill and is relieved by rest. It has been stable for 3 months. Resting ECG is normal. What is the most appropriate next step in management?