A 57 year-old male presents for a visit to his primary care…

A 57 year-old male presents for a visit to his primary care physician. He is s/p MI 2 years ago but complains of chest pain 1-2 times a month. He has needed 15 nitroglycerin tablets to control the chest pain in the past week. Which of the following conditions should be highest on the differential diagnosis for this patient? 

A 65 year-old male presents to the office with chest pain. …

A 65 year-old male presents to the office with chest pain.  For the past 2 years, he experienced the same pain about once every 2 months.  Although the pain was brought on by exertion, it had always relieved completely with rest after a few minutes.  In the past week, he has had 3 episodes of the same pain, but the most recent episode this morning lasted 10 minutes and didn’t resolve completely. What is the next step in evaluation of this patient?

GL is a 48 year-old Hispanic female with a PMH of CAD- s/p s…

GL is a 48 year-old Hispanic female with a PMH of CAD- s/p stent placement 6 months ago, Hypertension and Hyperlipidemia. She has been compliant with Rosuvastatin (Crestor) 40mg 1 tab daily and lifestyle modifications for the past 6 months. Today her fasting lipid panel shows Total cholesterol= 230mg/dl, LDL level=100mg/dL, HDL=40mg/dL and TG=120mg/dL. Based on the ACC/AHA 2018 lipid guidelines, what is the BEST treatment recommendation for this patient?