Management of coronary artery disease and hypertension

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You are working in the internal medicine clinic of a large teaching hospital. today your first patient is 70-year-old J.M., a patient who has been coming to the clinic for several years for management of coronary artery disease (CAD) and hypertension (HTN). He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a chest x-ray ( CXR) showed cardiomegaly, and a 12-lead electrocardiogram (ECG) showed sinus tachycardia with left bundle branch blocked (LBBB).

Reference no: EM133598100

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