Tim goes to his family physician complaining of worsening angina, shortness of breath, and extreme fatigue.  Tim is 5’11”, 240 lbs, and 68 years old.  He has a history of smoking (one pack a day for 40 years), and is on the verge of Type II diabetes.  Tim has been previously diagnosed with atherosclerosis, and has had bypass surgery to correct 2 blocked coronary arteries.  A year ago, Tim had a heart attack and spent a couple of months in the hospital, during which he quit smoking.

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