Topics:
Cardiology • Preventive Cardiology
Would you start ASA and/or statin therapy on an asymptomatic patient noted to have incidental pathologic Q waves on EKG, assuming no prior history of ischemic heart disease?
Would you consider further imaging like coronary calcium scoring or coronary CTA to further risk stratify them?
Answer from: at Community Practice
I would start with a thorough H and P and comprehensive risk evaluation with necessary screening including blood work, at least a stress echocardiogram if not a full echocardiogram in addition, and also offer Calcium scoring.
Given more details are not given regarding the patient's age and function...
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