Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 58-year-old man is evaluated during a routine appointment and asks for advice on cardiac risk assessment. He does not have any current cardiac symptoms, exercises 4 days per week, and has never smoked. He has no chronic health issues and takes no medications. He has no known drug allergies. Results of the physical examination are normal.
Cardiovascular risk calculation using the Pooled Cohort Equations predicts a 6% risk of a myocardial infarction or coronary death in the next 10 years.
Which of the following tests should be performed next?
A. Adenosine cardiac magnetic resonance imaging
B. Cardiac CT angiography
C. Fractionated lipoprotein profile
D. High-sensitivity C-reactive protein assay
E. Stress echocardiography
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