John Miller, a 65-year old patient, was referred to the cardiologist’s office for an evaluation. The patient had recently started an exercise program for weight loss. For the last 3 weeks, following exercise, he had noticed radiating chest pain (angina pectoris) that stopped after rest. This condition had worsened in the last week. The cardiologist ordered a stress echocardiogram. The stress echo results suggested that the patient had coronary artery disease. The patient was scheduled for a cardiac catheterization the next morning. It was noted in the patient’s chart that he smoked two packs of cigarettes per day.
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