A 78-year-old man with a four month history of exertional chest pain is reviewed.. Manage as angina, no further diagnostic tests required



A 78-year-old man with a four month history of exertional chest pain is reviewed. The pain typically comes on when he is walking up a hill, is centrally located and radiates to the left arm. Clinical examination and a resting 12 lead ECG are normal. Following NICE guidelines.
what is the most appropriate diagnostic strategy?
A.A CT calcium scoring
B.A Manage as angina, no further diagnostic tests required***
C.A Exercise tolerance test
D.A MPS with SPECT
E.A Coronary angiography.