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March 2014

Do I Need a Stent?Choosing Medical Care Wisely

Author Affiliations
  • 1Applied Physics Laboratory, University of Washington, Seattle
JAMA Intern Med. 2014;174(3):320. doi:10.1001/jamainternmed.2013.13479

Nine years ago at the age of 71, my mother was living an active life after retirement and enjoyed gardening, sewing, practicing tai chi daily, and working part-time in a fabric store. She was taking blood pressure medication to control hypertension.

She began to experience brief episodes of chest discomfort when she walked uphill. I encouraged my mother to visit her family physician, and we learned that her blood pressure was elevated more than usual and her cholesterol and triglyceride levels were high. The physician recommended a treadmill test. During the test, she felt chest discomfort, although the symptoms went away within a few minutes.

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