TY - CHAP M1 - Book, Section TI - Coronary Revascularization in Stable Angina A1 - Dehghani, Payam A1 - Giustino, Gennaro A1 - Mehran, Roxana A2 - Baliga, R. R. A2 - Lilly, Scott M. A2 - Abraham, William T. PY - 2018 T2 - Color Atlas and Synopsis of Interventional Cardiology AB - A 54-year-old man presents with a 3-month history of progressive chest pain. He describes a band-like retrosternal heaviness that is brought on by walking more than 2 blocks. The discomfort lasts less than 20 minutes and is relieved with rest. His past medical history is significant for hypertension. He is a nonsmoker and has no history of diabetes. His baseline Seattle Angina Questionnaire (SAQ) frequency score is 50, suggesting almost daily angina. In addition to lisinopril, his family physician has recently maximized the patient on optimally tolerated doses of metoprolol, nitroglycerin, and rosuvastatin (20 mg). At a visit with his primary care physician 12 months ago, his high-density lipoprotein cholesterol was 50 mg/dL, his total cholesterol was 170 mg/dL, and his blood pressure (while on lisinopril) was 135 mm Hg. Physical examination reveals a body mass index of 29 kg/m2, blood pressure of 145/75 mm Hg, and pulse of 58 bpm. His neck veins are not distended. There is no organomegaly and no peripheral edema, the apex is not displaced, he has normal S1 and S2 sounds, and no pathologic murmurs are identified. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/15 UR - accesscardiology.mhmedical.com/content.aspx?aid=1160206423 ER -