Consultation with a Cardiologist,
Fasting Blood Glucose,
Serum Lipid Profile,
CT Calcium Scoring,
Coronary CT Angiography (CCTA)*
*CCTA detects clinically significant (≥50 percent) coronary artery stenoses with high accuracy. CCTA outperforms functional evaluation (ie, exercise ECG, nuclear stress, or stress echocardiography) in predicting future cardiovascular events (eg, death, myocardial infarction, hospitalization for unstable angina) among patients with stable chest pain and an intermediate pretest probability for obstructive coronary artery disease (CAD). However, as noted in the ACCURACY trial and other studies, specificity is reduced in the presence of coronary artery calcium (eg, 86 versus 53 percent for detection of ≥50 percent stenosis with calcium scores ≤400 versus >400 Agatston units).