Step II Angio in IHD

[BlackAces]

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For the purpose of the CK exam, when do you do a coronary angiography in a pt with stable angina? I guess, dude walks into your office, tells history consistent with AP, you do stress exercise, what next? start drugs (nitro, BB, aspirin), send home, re-evaluate later, or go directly to ANGIO from stress exercise (if pos). In the real life, last scenarion is usually done

 

[OveractiveBrain]

For the purpose of the CK exam, when do you do a coronary angiography in a pt with stable angina? I guess, dude walks into your office, tells history consistent with AP, you do stress exercise, what next? start drugs (nitro, BB, aspirin), send home, re-evaluate later, or go directly to ANGIO from stress exercise (if pos). In the real life, last scenarion is usually done

Caths on CK are usually reserved for the guy with STEMI and NSTEMI. Cath is the last thing you do in the outpatient setting; you will have already started him on a host of medications even BEFORE the stress test. If it comes back positive (but he is still Stable Angina), you do a stable, outpatient, "elective" cath.