1. Coronary Heart Disease Case scenarios

2. Mr Smith 55yr old Lorry Driver 3-4 weeks history of chest pains, unrelated to exertion except when lifting heavy objects. Anxious re heart What do you do next?

3. Mr Smith History: Smokes 20/day No exercise Family history of IHD

4. Mr Smith Obese BMI 32 BP 182/101 CVS otherwise normal What tests do you do now?

5. Mr Smith - Investigations Bloods: FBC U+Es LFTs Fasting lipids Fasting sugar ECG Follow up?

6. Mr Smith 6 months later Phones you with chest pain, central and crushing lasting 20 minutes so far Describe your immediate actions

7. Mr Smith – post MI How will you follow up Mr Smith? What issues will need to be addressed?