A 61-year-old man comes to the GP because of a 4-month Hx of chest pain when mowing the lawn. He has smoked 1.5 packs of cigarettes daily for 35 years. He takes no medications. His vitals are: temperature 98.6F, HR 76, RR 12, BP 145/95. Which of the following coronary arterial lesions is most likely consistent with this patient’s presentation?
30% stenosis with a superficial rupturing plaque
85% stenosis with microcalcification
Acute thrombus with a 60% stenosis
Episodes of 95-100% vasospastic occlusion
Left atrial mural thrombus
—
Cut-to-the-chase Answer (0:30):
—
HY USMLE Answer (4:24):
