PHAR3816 Lecture Notes - Lecture 6: Coronary Artery Disease, Angina Pectoris, Coronary Circulation

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Mrs. jones presents to her general practitioner complaining of episodes of chest discomfort. She is a 62-year-old divorced mother of three who has been suffering from increasing chest discomfort for the past year. At first she only noticed the discomfort when exerting herself e. g. , running for the bus and the discomfort always quickly went away when she stopped or slowed down. She attributed this to no more than "getting old" and "being out of shape. " When the chest discomfort episodes began to occur more than once a week, she made an appointment with the gp. Mrs. jones is overweight (1. 6 meters; 78kg) and smoked cigarettes 1 pack/day for 15 years, although she managed to quit about 5 years ago. She drinks a "very occasional" glass of wine. She admits to having a "poor diet" consisting of high-salt, high-fat foods, with few fresh vegetables or fruits, but reports that she takes multivitamins to compensate for her poor diet.

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