Scenario 1: Group A
A 58-year-old male present to the clinic with complaints of chest pain. He states that for the last 5 months he has noted intermittent substernal chest pressure radiating to the left arm. The pain occurs primarily when exercising vigorously and is relieved with rest. He denies associated shortness of breath, nausea, vomiting, or diaphoresis. He has a medical history significant for hypertension and dyslipidemia. He is taking atenolol for his high blood pressure and is eating a low cholesterol diet. His family history reveals father died at the age of 50 from a myocardial infarction. He has a 40 pack year smoking history and is currently trying to quit. His physical exam is within normal limits with the exception of his blood pressure being 150/95 mm/Hg and his heart rate of 80 bpm.
A. What is the likely diagnosis and how would you classify his diagnosis clinically?
B. What are the most common causes of this disease? Which is the most likely cause for this disease for this patient?
C. What are the patient’s risk factors for this disease?