11-07-2010, 11:27 AM
A 72-year-old man with a history of myocardial infarction 10 years ago and angina presents with complaints
of recurrent chest pain, which he has been experiencing over the past 4 months. This pain is retrosternal,
is brought on by exertion, and is relieved by rest. The patient has been taking aspirin, longacting
diltiazem, simvastatin, atenolol, and isosorbide dinitrate at maximal doses. His blood pressure is
130/80 mm Hg; pulse, 62 beats/min; and respirations, 16 breaths/min. Physical examination is normal.
ECG shows normal sinus rhythm, with left bundle branch block.
Which of the following tests would be most useful in the evaluation of this patient's angina?
❏ A. Exercise treadmill ECG
❏ B. Exercise treadmill cardiac nuclear imaging
❏ C. Exercise treadmill echocardiography
❏ D. Dobutamine echocardiography
❏ E. Cardiac catheterization
of recurrent chest pain, which he has been experiencing over the past 4 months. This pain is retrosternal,
is brought on by exertion, and is relieved by rest. The patient has been taking aspirin, longacting
diltiazem, simvastatin, atenolol, and isosorbide dinitrate at maximal doses. His blood pressure is
130/80 mm Hg; pulse, 62 beats/min; and respirations, 16 breaths/min. Physical examination is normal.
ECG shows normal sinus rhythm, with left bundle branch block.
Which of the following tests would be most useful in the evaluation of this patient's angina?
❏ A. Exercise treadmill ECG
❏ B. Exercise treadmill cardiac nuclear imaging
❏ C. Exercise treadmill echocardiography
❏ D. Dobutamine echocardiography
❏ E. Cardiac catheterization