Q:

A 52-year-old woman with chest pain is considered for coronary arteriography on the basis of her risk factors. The following is/are true statement(s):

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A 52-year-old woman with chest pain is considered for coronary arteriography on the basis of her risk factors. The following is/are true statement(s):


  1. All patients with typical anginal symptoms should have coronary arteriography
  2. Atypical patients with borderline positive stress tests should have arteriography
  3. Patients who require valve procedures do not require arteriography
  4. Patients in refractory heart failure awaiting cardiac transplantation should have coronary arteriography

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b. Atypical patients with borderline positive stress tests should have arteriography

Patients with typical angina and ECG changes should have angiography only if they are refractory to medical management and/or a candidate for revascularization. Patients with atypical signs and symptoms should have angiography to confirm or exclude the diagnosis. Patients with valve disease and risk of coronary artery disease should have angiography but patients awaiting cardiac transplantation are not candidates for revascularization and do not require coronary angiography. 

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