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Clinical Decisions

Published at www.nejm.org November 28, 2007 (10.1056/NEJMclde0707875)

Management of Stable Coronary Disease — Polling Results
Susan Cheng, M.D., and John Jarcho, M.D.

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In late October, we presented the case of a patient with stable coronary artery disease in Clinical Decisions,1 an interactive feature designed to assess how readers would manage a clinical problem for which there may be more than one appropriate treatment. Our patient was a 65-year-old man with hypertension, obesity, and type 2 diabetes who presented with a 2-week history of exertional angina. He underwent an exercise-tolerance test on a treadmill, along with myocardial perfusion imaging, which showed a fixed anterior defect and a reversible anterolateral defect, both of moderate size. His subsequent cardiac catheterization revealed an occluded first diagonal . . . [Full Text of this Article]



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