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The Future of the Exercise Tolerance Test

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The Future of the Exercise Tolerance Test

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    1. The Future of the Exercise Tolerance Test Rick Steeds Consultant Cardiologist QEHB

    2. POINT: Aim is to persuade you that the correct place is in the bin That you should not send your patients to services that rely on ETT for diagnosis Hopefully, this will be easier than Birmingham City Councils job of going back to workPOINT: Aim is to persuade you that the correct place is in the bin That you should not send your patients to services that rely on ETT for diagnosis Hopefully, this will be easier than Birmingham City Councils job of going back to work

    3. Outline A clinical example The NICE guidance Considerations for the intermediate risk

    4. MS 45 year Caucasian male 10-15 mins severe retrosternal chest pain Pain occurred at rest Resolved spontaneously sitting quietly No past medical history RF: 0DM, 0HTN, non-smoker, cholesterol unknown SH: Married, 3 children, no alcohol POINT: Case details how common is IHD in a man of this age?POINT: Case details how common is IHD in a man of this age?

    5. Prevalence of IHD in the General Population 23,996 subjects Significant CAD defined by >50% stenosis in CA Probability defined by age and sex alone

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