Cardiology

A 45-year-old white, male, freelance photographer of French ancestry underwent a routine annual physical examination.

A 58-year-old man with type 2 diabetes and hypertension who was a smoker presented to the outpatient clinic with atypical symptoms.

A 50-year-old man with diabetes and hypertension was admitted to the hospital for severe, substernal chest pain.

A 72-year-old physically active man with a history of coronary artery disease and wellcontrolled hypertension developed gradual shortness of breath, initially with outdoor exertional physical activities and later with more usual activities. He also developed mild ankle and leg edema during the same time.

A 62-year-old man with paroxysmal atrial fibrillation (AF) presents to his physician’s office for a discussion of treatment options for his AF.

A 66-year-old man with a history of coronary heart disease, hypertension, type 2 diabetes mellitus, and hyperlipidemia presented to the clinic for follow-up after recent hospitalization for unstable angina.

A 68-year-old man with type 2 diabetes and no history of coronary heart disease presented to a diabetes clinic.

A 44-year-old man with newly diagnosed 3-vessel coronary disease was scheduled for 4-vessel coronary artery bypass graft surgery.

A 70-year-old woman presented to the emergency department with acute onset of shortness of breath that awakened her from sleep.

A 76-year-old woman with a history of paroxysmal atrial fibrillation presents to your office to discuss whether she should take warfarin (Coumadin) for stroke prevention.

A 40-year-old previously healthy woman had progressively worsening dyspnea on exertion and lower extremity edema for a duration of 4 months.

A 75-year-old former dentist was admitted to our department for evaluation of chronic angina pectoris.

A 62-year-old woman presented to the emergency department with chest pain.

A 50-year-old woman with angina pectoris, hyperlipidemia, and hypertension was admitted to our clinic because of a possible transient ischemic attack.

After an anterior acute myo­cardial infarction 7 years ago, a 74-year-old man had re­ceived treatment with aspirin, simvastatin (Zocor), and a beta blocker.

A 72-year-old woman with symp­toms of palpitations and fatigue for the past several months was seen in the outpatient department.

A 68-year-old man with increasing shortness of breath during moderate physical exertion consulted his family physician.

A 77-year-old man with atrial fibrillation of more than 10 years duration was admitted to the neurology department with left-sided hemiparesis and aphasia.

A 62-year-old white man weighing 78 kg was referred to our cardiac catheterization laboratory for evaluation and percutaneous treatment of suspected ischemic coronary artery disease.

A 61-year-old man was admitted to the hospital for increasing shortness of breath, weight gain, and orthopnea.

Multiple imaging modalities were used to assess left ventricular function in a 64-year-old patient with prior inferior myocardial infarction.

An asymptomatic 65-year-old woman with a 10-year history of well-controlled diabetes mellitus, hyperlipidemia, and hypertension was referred for preoperative cardiac evaluation before noncardiac surgery.

A 37-year-old man was referred for assessment and treatment of syncope by his family doctor.

A 45-year-old man with no significant medical history presents for a new-patient evaluation at your office.

A 62-year-old man was admitted for spontaneous constrictive, intense chest pain.

Patient #1 was a 64-year-old woman with chest discomfort provoked by exertion and emotional stress.

An 80-year-old woman with hypertension, diabetes, and osteoarthritis experienced an episode of atrial fibrillation 1 year earlier, causing presyncope accompanied by palpitations, but no other symptoms.