TEC Cardiologia Practice Questions - TEC - Título De Especialista Em Cardiologia (Sociedade Brasileira De Cardiologia AMB) Exam

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A 52-year-old non-smoking man with well-controlled hypertension presents to the cardiology outpatient clinic reporting intermittent substernal chest tightness triggered by brisk uphill walking, relieved within 3 minutes of rest. Resting 12-lead ECG is normal, and resting transthoracic echocardiogram shows an LVEF of 62% without regional wall motion abnormalities. His calculated pre-test probability (PTP) for obstructive coronary artery disease is intermediate (22%). According to the Diretriz Brasileira de Doença Coronariana Crônica (SBC Guidelines on Chronic Coronary Disease), which diagnostic test is considered an optimal first-line anatomical examination in this symptomatic patient with intermediate clinical probability?

Coronary Computed Tomography Angiography (CCTA / Angio-TC de artérias coronárias). Right and left heart catheterization with endomyocardial biopsy. Exercise treadmill testing (teste ergométrico) without electrocardiographic monitoring. Intravascular ultrasound (IVUS) of the left anterior descending artery via radial access.

Correct Answer:

Coronary Computed Tomography Angiography (CCTA / Angio-TC de artérias coronárias).

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