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Disorders of Lipoprotein Metabolism

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Challenging Cases in Endocrinology

Part of the book series: Contemporary Endocrinology ((COE))

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Abstract

A 59-yr-old man presented with the diagnosis of type 2 diabetes. He was in good health until 5 yr ago when he presented to the emergency room (ER) with an episode of chest pain and numbness in his jaw that occurred as he was walking up stairs. He was admitted to the hospital, and although an acute myocardial infarction (MI) was ruled out, an exercise stress test was positive. Coronary angiography revealed triple-vessel disease, and a coronary bypass operation was performed. Risk factors for coronary disease included the following: family history—his father died of an MI at age 52, mild hypertension —145/88, cigarette smoking-1 pack per day × 20 yr. He works as a bus driver and is 5 ft 9 in and 180 lbs. A lipid profile taken 2 mo postoperatively was as follows: cholesterol 250 mg/dL, triglyceride 180 mg/dL, HDL 30 mg/dL, and LDL 184 mg/dL. Liver, renal, and thyroid functions were normal.

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© 2002 Springer Science+Business Media New York

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Goldberg, I.J., Bukberg, P. (2002). Disorders of Lipoprotein Metabolism. In: Molitch, M.E. (eds) Challenging Cases in Endocrinology. Contemporary Endocrinology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-277-7_19

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  • DOI: https://doi.org/10.1007/978-1-59259-277-7_19

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-249-0

  • Online ISBN: 978-1-59259-277-7

  • eBook Packages: Springer Book Archive

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