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Figure 1. A 53-year-old man with a family history of premature atherosclerosis, borderline hypercholesterolemia, and a 15-pack-year history of cigarette smoking was seen for intermittent claudication, which had been present for six months. On auscultation, the first heart sound was normal, A2 was prominent, and P2 was normal. There was a 2/6 ejection murmur over the upper part of the chest and a soft, continuous murmur over the intercostal area. There was no evidence of left or right ventricular failure. Blood pressure was 210/85 mm Hg in the right arm, 120/75 mm Hg in the left arm, and 110/75 . . . [Full Text of this Article] |