A 66yearold gentleman presented for a cardiovascular evaluation secondary to chest discomfort,right knee pain,and intractable hiccups.The patient also had type 2 diabetes mellitus,hypercholesterolemia,aortic atheroscl...A 66yearold gentleman presented for a cardiovascular evaluation secondary to chest discomfort,right knee pain,and intractable hiccups.The patient also had type 2 diabetes mellitus,hypercholesterolemia,aortic atherosclerosis,and ascending aortic aneurysm.His family history was also significant for premature coronary artery disease in the father.The patient had been compliant with his medical therapy,which included subcutaneous 200 units/mL insulin degludec,18 mg/3 mL subcutaneous liraglutide,daily oral 500 mg metformin hydrochloride,daily oral 100 mg sitagliptin,daily oral 12.5 mg zolpidem,daily oral 5 mg tadalafil,and 20 mg tablet rosuvastatin daily.展开更多
文摘A 66yearold gentleman presented for a cardiovascular evaluation secondary to chest discomfort,right knee pain,and intractable hiccups.The patient also had type 2 diabetes mellitus,hypercholesterolemia,aortic atherosclerosis,and ascending aortic aneurysm.His family history was also significant for premature coronary artery disease in the father.The patient had been compliant with his medical therapy,which included subcutaneous 200 units/mL insulin degludec,18 mg/3 mL subcutaneous liraglutide,daily oral 500 mg metformin hydrochloride,daily oral 100 mg sitagliptin,daily oral 12.5 mg zolpidem,daily oral 5 mg tadalafil,and 20 mg tablet rosuvastatin daily.