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Care after Coronary-Artery Bypass Surgery

2003; Massachusetts Medical Society; Volume: 348; Issue: 15 Linguagem: Inglês

10.1056/nejmcp010691

1533-4406

Mary E. Charlson, O. Wayne Isom,

Aortic aneurysm repair treatments

A 71-year-old woman who had a myocardial infarction five years previously and underwent coronary-artery bypass surgery six months ago visits a primary care physician. She had no complications after surgery, but intraoperative transesophageal echocardiography revealed a grade V atheroma in the descending aorta. She has no cardiac or neurologic symptoms but notes that she feels depressed and has difficulty concentrating. The low-density lipoprotein cholesterol level is 128 mg per deciliter, the high-density lipoprotein cholesterol level is 40 mg per deciliter, and the triglyceride level is 200 mg per deciliter. What should the physician advise to improve her long-term outcome?