1 Hour Of Sudden in Medicine / Internal Medicine — 55yo Man | Cardiology | SMLE Q#11968

SMLE Question #11968

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 55-year-old man presents to the emergency department with 1 hour of sudden, severe retrosternal chest pain radiating to the neck. Physical examination shows no signs of heart failure. ECG shows ST-segment depression in leads II, III, and aVF. Cardiac biomarkers are pending. Which of the following is the most important modifiable risk factor for acute coronary syndrome?

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