Age:

Sex: Female Male

Chest Pain Type (0-3):

Resting Blood Pressure:

Cholesterol (mg/dl):

Fasting Blood Sugar (> 120 mg/dl): False True

Resting Electrocardiographic Results: 0 1 2

Maximum Heart Rate Achieved:

Exercise Induced Angina: False True

ST depression induced by exercise relative to rest:

The slope of the peak exercise ST segment: 0 1 2

Number of major vessels (0-3) colored by flourosopy:

Thal: 0 1 2