We estimate that approximately three million nondiabetic patients in the U.S. with no prior myocardial infarction or revascularization such as stenting or bypass surgery visit their primary care provider each year complaining of symptoms that may be suggestive of obstructive CAD. Studies have shown that only about 10% of these patients actually have obstructive CAD, while approximately 90% of patients have symptoms that stem from other non-cardiac conditions, such as musculoskeletal disorders, gastrointestinal diseases, and psychosocial illnesses.
Who is the Corus CAD patient?
The Corus CAD test is intended for use in patients who present with stable symptoms suggestive of obstructive CAD.
Typical symptoms suggestive of CAD may include:
Chest discomfort, tightness, pain, or pressure
Shortness of breath
Atypical symptoms suggestive of CAD may include:
Tightness or pressure in the throat, jaw, shoulder, abdomen, back, or arm
Squeezing, heaviness, or burning sensation in the upper body
Abdominal discomfort or fullness
Indigestion or heartburn
Dizziness or light-headedness
Palpitations or awareness of heartbeat
(To be suggestive of obstructive CAD, these atypical symptoms should be concurrent with at least one CAD risk factor. Some examples of CAD risk factors include high cholesterol, hypertension, family history of heart disease, smoking, obesity, and known non-cardiac vascular disease.)
GenePoole0304 wrote:a nuclear stress test is overkill unless one is symptomatic and involves risk of radiation or disturbing vulnerable plaque and rupture, especially with a low score where it is unlikely one has any degree of high risk plaques obstructions. I would seriously think of getting another doctor even though he is trying to be cautious. Even Dr Gundry prefers a less invasive test and shows he is keeping up to date!
A cartoid intimia ultrasound test is a better alternative along with other blood markers.
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