Which Diagnostic Test You would recommend ?

A 58-year-old man is referred to your OPD with a new weight loss. GI Specialist diagnosed

a gastric ulcer on endoscopy, which persists despite regular medical treatment.

Gastric surgery is recommended by the surgeon. The patient also has a history of Coronary Artery disease, which was treated with CABG approximately 4 years ago. The patient is smoker, but he exercises regularly, walking approximately 3 KM a day within an hour. He does not have any complains( dyspnea,angina).

Before giving him clearance for operation, from a cardiac perspective you would recommend

which of the following?

a. A symptom-limited exercise test

b. Resting echocardiography

c. Coronary angiography

d. Sending patient directly to operation Theater

e. Exercise Thallium Test

Please  Leave your comments and explanations in the box below