showed a trendP = 0.078
Patients with an elevated IMR were more than twice as likely to have anginal therapy added (61% [44/72] vs 29% [53/181]; P < 0.0001) and showed a trend toward receiving greater additional preventative therapy (21% [15/72] vs 12% [22/181]; P = 0.078) and lifestyle modification recommendations (25% [18/72] vs 15% [27/181]; P = 0.058).