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Optimising cardiovascular risk factor control in a high risk patient

Elisa Dal Canto MD, Prof. Joline Beulens, Amsterdam University Medical Centre, The Netherlands.

04 May 2020

The case: 

67-year-old non-smoker Margaret Hood was referred to the outpatient clinic at the Cardiology Department for shortness of breath (NYHA class II). She has been suffering from type 2 diabetes (T2DM) for 10 years, which she manages with metformin.

Her HbA1c is 65 mmol/mol (8.1%), LDL-c is 4.3 mmol/L (166 mg/dl), with a blood pressure of 145/89 mmHg.

Clinical examination is unremarkable, except for a trace of foot oedema and BMI of 28.9 kg/m2. ECG: sinus rhythm (82 bpm).

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References

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