Not quite business as usual

A 56-YEAR-OLD business executive is referred for assessment and exercise stress testing following a history suggestive of recent onset exertional angina.

He has a four-year history of mild hypertension treated with an ARB daily. He has a history of mild hyperlipidaemia managed by diet. There is a soft family history and a history of smoking for some 10 years till the age of 40.

He has been under considerable recent personal and work-related stress.

His initial assessment by you demonstrated a resting BP of 125

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