A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST segment abnormalities. Your plan may include
A. Echocardiogram
B. Exercise stress test
C. Cardiac catheterization
D. Myocardial perfusion imaging
Question 2
A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because
A. Women with ischemic heart disease many times do not present with chest pain
B. Some patients may have no symptoms or atypical symptoms. Diagnosis may only be made at the time of an actual myocardial infarction
C. Elderly patients have the most severe symptoms
D. A & B only
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