A 64-Year-Old Man Comes to the Emergency Department Due to Substernal

question 55

Multiple Choice

A 64-year-old man comes to the emergency department due to substernal chest pressure for the last 2 hours and associated mild nausea.  Two weeks ago, he underwent right coronary artery stenting for stable angina.  He also has hypertension and hyperlipidemia.  His blood pressure is 92/60 mm Hg and pulse is 48/min.  He is diaphoretic, and his extremities are cold.  Lungs are clear on auscultation.  There are no heart murmurs.  ECG shows sinus bradycardia with 2-mm ST-segment elevation in leads II, III, and aVF.  Which of the following additional history is most helpful in diagnosing the cause of this patient's condition?

• A)Alcohol abuse
• B)Dietary habits
• C)High-intensity exercise
• D)Illicit drug use
• E)Medication compliance

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Definitions:

Causes of Death

Factors or conditions that result in the termination of life.

Recreation Centre

A facility provided for leisure activities, including sports, fitness, and other recreational activities.

Physical Activities

Bodily movements produced by skeletal muscles that require energy expenditure, including activities undertaken while working, playing, carrying out household chores, traveling, and engaging in recreational pursuits.

Telephone Responses

Answers or feedback collected through telephone surveys or inquiries.