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This interactive feature allows readers to decide on the diagnosis or management of a clinical case. A case vignette is followed by specific clinical options, none of which can be considered either correct or incorrect. Readers can participate in forming community opinion by choosing one of the options and, if they like, providing their reasons.

Read the Case Vignette and consider the Treatment Options, then Vote and share your Comments.

Previous Volume 357:1762-1766 October 25, 2007 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Case Vignette

A 65-year-old man with hypertension, obesity, and type 2 diabetes mellitus has been under your care for the past 5 years. He has been receiving hydrochlorothiazide (25 mg daily) and metformin (500 mg twice daily); his blood pressure is 130/82 mm Hg, his body-mass index (the weight in kilograms divided by the square of the height in meters) is 32, and his glycated hemoglobin is 7.5%. He comes to your office seeking advice about the management of his recently diagnosed coronary artery disease. Two weeks earlier, he had presented with chest tightness and shortness of breath after walking two blocks. . . . [Full Text of this Article]

Treatment Options

Cast Your Vote

This article has been cited by other articles:

• Cheng, S., Jarcho, J. (2007). Management of Stable Coronary Disease -- Polling Results. NEJM 357: e28-e28 [Full Text]