Case StudiesQuiz of the month – April 2023
Take our patient case study quiz specially curated for you by our Faculty Member, Prof. Samer Ellahham.
Marx N, Husain M, Lehrke M, et al.
Journal: Circulation
First published: December 12, 2022 DOI: 10.1161/CIRCULATIONAHA.122.059595
Case Study: A 65-year-old man with a history of dyslipidemia, type 2 diabetes mellitus and systemic hypertension.
Presentation: | New onset crescendo angina x 5 days culminating Rest pain for the past 2h No history of other vascular events or heart attack, no TIA or stroke Weight: 90 kg Exam: BP 150/85 (slightly elevated), Heart Rate 80 No murmur detected |
Medication: | Valsartan 160 mg daily, Aspirin 81 mg daily, Rosuvastatin 10 mg daily, Metformin 500 mg twice daily |
Labs: | BMI 31kg/m2, waist circumference 101.6 cm (40 inches), (-) tobacco (quit last year – 60-pack-year history) Normal CBC, electrolytes Troponin: Elevated Electrocardiogram:1-2 mm horizontal ST depression infero-lateral leads 
Chest X-ray: Normal |
Lipid panel: | Total cholesterol (TC) 192 mg/dL HDL-C 46 mg/dL Triglycerides 180 mg/dL (non-fasting) LDL-C 110 mg/dL Non-HDL-C 146 mg/ dL |
What are the first impressions about this patient?