1 Hour Of Sudden in Medicine / Internal Medicine — 40yo Man | Cardiology | SMLE Q#17577
SMLE Question #17577
Medicine / Internal Medicine
Cardiology
Objective: OBJ-ACS-RISK-01
Last updated: February 2026
A 40-year-old man presents to the emergency department with 1 hour of sudden retrosternal chest pain radiating to the neck. He smokes 1 pack/day for 20 years and has hypertension with poor medication adherence. He is alert and in pain; cardiovascular and respiratory examinations are unremarkable. ECG shows horizontal ST-segment depression in leads II, III, and aVF. Which of the following is the most important modifiable risk factor for acute coronary syndrome in this patient?
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