The case
A 62-year-old male patient presents for follow-up six weeks after experiencing an anterior ST-elevation myocardial infarction (STEMI) treated successfully with percutaneous coronary intervention (PCI). He has a history of hyperlipidemia and hypertension. Cardiovascular disease and diabetes mellitus are common in his family, and he is concerned about his long-term prognosis. At night in bed, he experiences bouts of fast, irregular palpitations. Clinical examination is unremarkable and shows regular pulse at 64 beats per minute, and blood pressure 125/75 mmHg. His recent lab results demonstrate normal glycated haemoglobin (HbA1c), well controlled low density lipoprotein (LDL) cholesterol and elevated high sensitivity C-reactive protein (hs-CRP).
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