GOGETA
Trying to get in PGY1
Topics: 381
Posts: 3,072
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Ok guys this is suppose to be basic
When we do stress test and when we do the coronary angiography?
Thanks
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| nightflight1945
banned
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Posts: 920
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Very good question!
Stress test has a good predictive value (+ or -) when the pretest probability of CAD is medium , i.e. not high and not low .
In a patient with high pretest probability of CAD e.g. a diabetic with HTN and typical chest pain the first step is Angiography .
In a patient who is asymptomatic or with low pretest probabiltiy , e.g. a young female with atypical chest pain neither Stress test nor Angio is indicated
In a patient between two above , i.e medium pretest probability the first best next step is stress test and if it is positive you can preoceed with Agio.
I suppose UW step 2 CK has a few good Qs in this regard !
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| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
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Good point
Thanks, guys
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| nightflight1945
banned
Topics: 32
Posts: 920
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