Should I get a CT scan for coronary artery disease?
I have a bit of a personal bias against coronary CT, which as of yet in my opinion is neither well-enough studied as a diagnostic modality nor incorporated into any of the major guidelines or algorithms for diagnosis and management of coronary artery disease by societies like the ACC/AHA etc. So take what I say with a grain of salt as a non-cardiologist, but practicing physician in the US. An exercise stress test with your findings along with exertional chest pressure is already highly suggestive of coronary artery disease and possibly mild angina. That’s pretty much all the risk stratification one needs to determine what medications you need to reduce your risk of an event (ie a heart attack and heart failure). There is no well tested modality to determine how or when such an event may occur in a patient with known coronary artery disease (which it sounds like you may be). Consequently at risk patients are typically treated with the same bevy of medications (aspirin, beta-blockers, AC
