A 56-Year-Old Man Comes to the Emergency Department with Acute

A 56-year-old man comes to the emergency department with acute, severe chest pain.  His electrocardiogram is within normal limits.  Contrast-enhanced computed tomography of his chest is shown below. Which of the following is the single most important risk factor for this patient's current condition?

A) Diabetes mellitus
B) High cholesterol
C) Hypertension
D) Limited physical activity
E) Smoking
F) Spirochete infection

Correct Answer:

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