A 58-year-old man attends his GP with exertional central chest tightness that reliably occurs when walking uphill and is relieved by rest within 5 min...

Question

A 58-year-old man attends his GP with exertional central chest tightness that reliably occurs when walking uphill and is relieved by rest within 5 minutes. He has no resting symptoms. Cardiovascular examination is unremarkable. What is the single most appropriate next step in primary care?

Accepted Answer

Refer to a rapid-access chest pain clinic

Answer

Start a beta-blocker and review in 6 months

Answer

Start Glyceryl Trinitrate and reassure, no further action

Answer

Arrange an exercise treadmill test in the practice

Answer

Request a resting transthoracic echocardiogram only

uk-plab-1 MCQ (SBA): Stable angina

A 58-year-old man attends his GP with exertional central chest tightness that reliably occurs when walking uphill and is relieved by rest within 5 minutes. He has no resting symptoms. Cardiovascular examination is unremarkable. What is the single most appropriate next step in primary care?