This is a 62 year old rug salesman who was first diagnosed with exertional chest pain and hospitalized for a strongly positive stress test in 1981. Recently he noticed increasing angina with chest aching, throat aching, and dryness of the throat. On January, 1991 he had an exercise treadmill test which was stopped due to 1 mm ST depression in Leads II, III, F and V4 to V6. He experienced chest discomfort and noticed more frequent anginal pain with throat, chest, and chest pressure in both arms while playing golf. On the day of admission he noticed some pain at work while moving around the office. Medications on admission were LoPressor 50 mg p.o. b.i.d., Isordil 20 mg p.o. t.i.d., Verapamil 80 mg p.o. t.i.d., Xanax 0.25 mg p.o. b.i.d. p.r.n., one aspirin q.d. and p.r.n. nitroglycerin. A percutaneous transluminal coronary angioplasty was performed in which a proximal circumflex was dilated from 95% to 20%, with the only other lesion being a right coronary artery of 30%. He was discharged home in excellent condition on LoPressor 50 mg p.o. b.i.d., Isordil 20 mg p.o. t.i.d., Verapamil 80 mg p.o. t.i.d., one aspirin q.d. and Pepcid 20 mg p.o. b.i.d.
verapamil
Verapamil 80 mg p.o. t.i.d., Xanax 0.25 mg p.o. b.i.d. p.r.n.,