Noninvasive Tests in Patients with Stable Coronary Artery Disease

Publisher Website
Google Scholar
Abstract
This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.A 58-year-old woman presents with chest discomfort while walking that is suggestive of coronary disease. She first noted the discomfort after beginning an exercise program three weeks earlier. The pain occurs within a few minutes after the beginning of exercise and resolves with rest. The physical examination and electrocardiogram are unremarkable. How should this patient be evaluated?The Clinical ProblemIn patients with known or suspected coronary artery disease, diagnosis and risk stratification can be aided by noninvasive tests for myocardial ischemia. The most commonly used tests are exercise electrocardiography, myocardial perfusion imaging, and stress echocardiography. Guidelines for choosing . . .

This publication has 22 references indexed in Scilit: