Cardiology

A 75-year-old man presented with increasing exertional chest pain over the previous few months.

A 42-year-old generally healthy, but overweight, adult male was enrolled in the Prospective Registry Evaluating Myocardial Infarction: Events and Recovery (PREMIER) trial.

A 42-year-old man was admitted to the hospital with severe chest pain that started 2 hours earlier.

A 66-year-old man with a history of nonischemic dilated cardiomyopathy and an ejection fraction of 20% presented to the outpatient heart failure clinic for routine follow-up.

Following are 2 cases of angiographically documented very late stent thromboses that occurred in patients enrolled in the Reduction of Restenosis in Saphenous Vein Grafts with Cypher Stent (RRISC) trial.

A 60-year-old Chinese man was diagnosed with atrial fibrillation 2 years earlier, when he presented with mild dyspnea.

A 55-year-old man with hypertension but no history of coronary or vascular disease presented for evaluation.

A 55-year-old white woman with no symptoms presented for a routine annual physical examination.

A 54-year-old hard-working male journalist underwent 4-vessel aortocoronary bypass grafting in January 2002 after 2 myocardial infarctions.

A 55-year-old Caucasian man who had a myocardial infarction 9 months earlier was referred to our cardiology clinic.

A 62-year-old man presented with a 3-day history of intermittent episodes of central chest discomfort and associated dyspnea, culminating in a 20-minute episode occurring at rest, with marked diaphoresis and associated anguor animi.

The patient was a 44-year-old woman who had been obese for 20 years (height, 5'3"; weight, 194.8 lb; body mass index, 32.7 kg/m2; waistline, 42").

A 63-year-old man with type 2 diabetes and hypertension presented to the outpatient clinic with atypical symptoms.

A 76-year-old woman with palpitations and fatigue of several months' duration presented to the outpatient department.

A 72-year-old man presented with angina, dynamic ST-segment depression, and increased troponin and creatine kinase-myocardial band (CK-MB) levels above the institutional upper limits of normal (ULN).

A 76-year-old man sought follow-up care after his primary care provider retired.

A 52-year-old man was admitted to the emergency department with a 2-hour history of typical ischemic chest pain.

An 83-year-old woman with ischemic cardiomyopathy and a left ventricular ejection fraction of 27% was hospitalized with increasing shortness of breath and lower extremity edema.

An 84-year-old woman was admitted to the hospital because of fever, wheezing, and shortness of breath.

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.