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Management of the Patient with Stable Ischemic Heart Disease and Preserved Left Ventricular Systolic Function

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Case Overview

Patient is a 55-year old male with a history of stable ischemic heart disease. He had a percutaneous coronary intervention (PCI) with a stent to the left anterior descending (LAD) coronary artery six months ago.  He has a history of hypertension. He is currently asymptomatic. His current medication regimen includes aspirin 81 mg po daily, simvastatin 80 mg po daily, clopidogrel 75 mg po daily, and metoprolol 50 mg po daily.