Abstract
Background: Cardiovascular mortality is and will be number one cause of death in years to come. Many risk factors such as hypertension, diabetes mellitus, dyslipidemias and obesity are related with increased risk of cardiovascular diseases. Case Report: We present the case of a patient with a significant medical history of hypertension, dyslipidemia, type 2 diabetes, obesity who presented to the emergency department with atypical chest pain. Patient had uncontrolled blood pressure and high level of cholesterol. He was smoker, obese and physically inactive. He underwent a cardiac catheterization that showed a stenosis on right coronary artery originating near the anterior left coronary artery sinus and coursing between. The patient was discharged home on medical management with beta blocker therapy, ACEi , statin and antidiabetic therapy, and was instructed to restrict his physical activity and reduce body weight. Conclusion: Treatment of patients with coronary artery disease is demanding control of the blood pressure, cholesterol and blood glucose. Many Guidelines try to find optimal treatment and goals in treatment in case to improve quality of life and complications. Any way symptomatic patients with coronary artery disease have 3 treatment options: medical management, coronary angioplasty and stent deployment, or surgical correction.
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