American Heart Association

Case Study 1Mr. JS presents today to your office for a follow up appointment after a BP reading at home of166/95 last week. He is a 52 y/o male with a PMH of HTN and Angina secondary to CAD, whichis well controlled, experiencing less than 1 attack per month.On today examination, MR JS’s vital signs are as follows:Temperature: 96.8ºHeart Rate: 68 bpmBlood Pressure: 168/92Respiration: 14Ox Sat: 95% at room airPain: denies pain.Labs:Last LDL on records (6 months ago): 189Current Medications:Atorvastatin 40 mg/dayMetoprolol tartrate 10 mg/twice/dayCASE STUDY QUESTIONS:1) According to the recently released American Heart Association guidelines on hypertension,what should be the BP goal for a patient with chronic stable angina and hypertension?2) In addition to diet and lifestyle modifications, what is the medication of choice to control theBP of a patient with chronic stable angina? Provide rationale3) Provide at least 3 (questions) you would ask your patient RELATED to the case presented andprovide rationale.4) Please explain whether you would request any laboratory or screening tests for this patientand why (if any)5) How would you achieve the B/P goal recommended for this patient according to theguidelines provided above?6) Provide References in APA style

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