50 years old female patient came with exertional chest pain for one month. Her ECG is normal. Which of the following is the best modality to rule out ischemia? A. Cardiac MRI. B. C... 50 years old female patient came with exertional chest pain for one month. Her ECG is normal. Which of the following is the best modality to rule out ischemia? A. Cardiac MRI. B. Cardiac CT angiography. C. Echo. D. Creatinine kinase.
Understand the Problem
The question presents a clinical scenario involving a 50-year-old female patient with chest pain and a normal ECG, asking for the best modality to rule out ischemia. This requires knowledge of medical diagnostics and options available for ischemia assessment.
Answer
Cardiac CT angiography.
The final answer is Cardiac CT angiography.
Answer for screen readers
The final answer is Cardiac CT angiography.
More Information
Cardiac CT angiography is a non-invasive method that provides detailed images of the coronary arteries, making it highly effective in ruling out coronary artery disease when the ECG is normal.
Tips
A common mistake is choosing creatinine kinase, which is not suitable for ruling out ischemia in the absence of a myocardial infarction.
Sources
- Chest pain: coronary CT in the ER - PMC - pmc.ncbi.nlm.nih.gov
- Non-Invasive Imaging in Coronary Syndromes - onlinejase.com
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