Problem: Mr. R. is a 65-year-old African American man who presents to the Penmen Hospital a complaint of rapid weight gain and peripheral edema. He has a past medical history of coronary artery disease, hypertension, hyperlipidemia, and chronic renal insufficiency. He smokes tobacco daily and is obese. Upon arrival, his blood pressure reading was 172/91. He states that the reading is what he averages on his home blood pressure monitor. The provider considers prescribing a thiazide diuretic or calcium channel blocker for his treatment regimen.
1. Describe the pathophysiology of coronary artery disease and how it relates to this case scenario.