RT Book, Section
A1 Dehghani, Payam
A1 Giustino, Gennaro
A1 Mehran, Roxana
A2 Baliga, R. R.
A2 Lilly, Scott M.
A2 Abraham, William T.
SR Print(0)
ID 1160206423
T1 Coronary Revascularization in Stable Angina
T2 Color Atlas and Synopsis of Interventional Cardiology
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749350
LK accesscardiology.mhmedical.com/content.aspx?aid=1160206423
RD 2024/10/15
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.