A 65 year-old man with hyperlipidemia, insulin-dependent diabetes, and
obesity presents with intermittent chest tightness on exertion. His medication
include aspirin, metoprolol, lisinopril, atorvastatin, metformin, and regular
insulin. EKG shows normal sinus rhythm and non-specific findings. Troponin is
What blood test(s) and/or non-invasive
test(s) would you obtain at this point? List up to 5.
After optimizing his medical status, the patient undergoes coronary angiography which demonstrates 80% stenosis of the proximal left anterior descending artery and no significant stenosis of the circumflex or right coronary arteries. Over the next 3 weeks, the patient develops increasing chest pain on exertion.
What is/are the best approach(s) to treatment of this patient? List up to 2.