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Case 2
Clinician: Norman M. Kaplan, MD
A 48-year-old woman with poorly controlled hypertension
and a variety of cardiovascular risk factors
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Background
- 48-year-old African-American woman
- Diagnosed with hypertension 9 mos. ago
- Currently on hydrochlorothiazide 12.5 mg qd
- BP: 162/96, BMI 30.6 kg/m2
- ECG: borderline LVH
- K+ = 3.3, Na+ = 140, BUN = 20, creatinine = 1.2, uric acid = 7.2, fasting glucose = 108, HgbA1c =
6.7, total cholesterol = 243, LDL-C = 162, HDL-C = 34, TG = 324
- Nonsmoker
- No alcohol use
- Developed peripheral edema while using a calcium channel blocker
- Father died from MI
- Mother hospitalized for chest pain a few times
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