In the setting of a documented heart attack
, I agree with you that a cardiac catheterization
is more reasonable to determine the coronary anatomy and define any high risk lesions that need to be treated. The rationale behind the stress test
might be to determine if there is a particular territory that is ischemic. That being said, a normal stress test would not be reassuring given the event.
Dr Brenes-Salazar MD
Mayo Clinic MN