If the troponin is negative, a treadmill exercise test or a thallium scintigram may be requested.

At best, in France, a bone scintigram will be taken; MRI and above all PET scans, used for early metabolic diagnosis, are not performed.

Finally, after treatment, if, when a patient suffering back pain is examined, a scintigram is taken showing a suspicious shadow on the bone, screening by PET scan will still not be performed.

Other alternatives to a standard exercise test include a thallium scintigram or sestamibi scintigram (in patients who cannot exercise enough for the purposes of the treadmill tests, e.g., due to asthma or arthritis or in whom the ECG is too abnormal at rest) or Stress Echocardiography.