Coronary heart disease (CHD) and chronic heart failure (CHF) are common chronic conditions encountered in primary care. Studies have shown that despite a strong evidence base, these conditions are often poorly diagnosed and inadequately managed in primary care.
A 67-year-old man who had an inferior myocardial infarction (MI) 3 years earlier had a daily medication regimen that included aspirin, 75 mg; atenolol (Nova-Atenol, Tenormin), 50 mg; ramipril (Altace), 2.5 mg; and simvastatin (Zocor), 10 mg.
A study by Peterson and colleagues used a large electronic patient database to demonstrate how patients at risk for nonfatal coronary events may be identified using reduced exercise capacity on treadmill stress testing as a parameter.
Reduced exercise capacity is associated with an increased risk of myocardial infarction, unstable angina, and coronary revascularization in patients referred for exercise treadmill testing for clinical indications.