Defining the Clinical Question

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A 52-year-old African American man has a family history of myocardial infarction in a brother at age 48 and in his father at age 57. He has a personal history of hypertension well controlled by lisinopril, a low HDL cholesterol (32 mg./dl.) and a moderately elevated LDL cholesterol (156 mg./dl.). He has no other cardiac risk factors. He is concerned about some recent weight gain and is thinking about abandoning his habit of having two beers each day after work. However, he has heard that moderate use of alcohol actually might reduce his risk of heart attack. He asks his physician about the role of alcohol in modifying his chances of having a myocardial infarction.

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Last Updated: October 20, 2010
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