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Table of Contents

Introduction
Patient Presents
Patient History
Physical Exam
Lifestyle Issues
Followup and Lifestyle Changes
Management After Lifestyle Changes
Smoking Cessation and Exercise
Followup Visits
Chest Pain
Examination
Management After Chest Pain
Blood Results
Angiogram Results
Followup
Resources

Author:

Robert L. Blake, Jr., MD

Department of Family and Community Medicine, School of Medicine, University of Missouri-Columbia
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Lifestyle Issues in Cardiac Health

Examination


On examination, Mr. Fowler is apprehensive and is sweating profusely. Blood pressure is 140/100 mmHg and pulse is 70 per minute. Respiratory rate is 20 per minute. An EKG is performed (Exhibit 1). Brief physical examination reveals clear lung fields and no neck vein distention. On cardiac auscultation, he has an S4 with no murmurs.

Questions

  1. What is the diagnosis?
  2. What is the appropriate management at this time?
Previous: Chest Pain
Next: Management After Chest Pain

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Last Update: February 15 2011