1 Hour Of Crushing in Medicine / Internal Medicine — 55yo Man | Cardiology | SMLE Q#1208

SMLE Question #1208

Medicine / Internal Medicine Cardiology
Last updated: February 2026
A 55-year-old man who smokes and has hypertension presents to the emergency department with 1 hour of crushing central chest pain radiating to the left arm, with diaphoresis and dyspnea. The pain is not relieved by rest. ECG shows ST-segment depression in leads II, III, and aVF. Which risk factor is the most significant modifiable contributor to myocardial infarction in this patient?

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