Joe is a 52 year old male. He works on wall street and plays 60 minutes of racquetball 3x/week for fun and stress relief. Afterwards he goes out for a steak dinner with his racquetball buddies. Joe is 5’10 and weighs 195. His BMI is 28 and his waist circumference is 37. Joe's total blood cholesterol is 262 mg/dL, his LDL is 165 mg/dL, and his HDL is 36. Joe’s blood pressure is 128/84. Joe’s fasting glucose was 92. Joe’s mother had a heart attack 2 years ago and is now on a cardiac diet.
Joe’s Total Cholesterol is at which risk level for cardiovascular disease?
| a. |
It is impossible to determine given this information only |
|
| b. |
Low CVD risk |
|
| c. |
Borderline CVD risk |
|
| d. |
High CVD risk |
d. High CVD risk
A total cholesterol level of 240 and above is considered as a high-risk category.
LDL cholesterol of 160 -189 mg/dl is also considered high.
Joe is a 52 year old male. He works on wall street and plays 60 minutes...
Jill is a 38 year old female. She is a nurse working in a hospital and currently does not participate in any exercise program. Jill has smoked for 20 years. Jill is 5’5 and weighs 182. Her BMI is 30 and her waist circumference is 36. Jill recently had a physical: her total blood cholesterol is 225 mg/dL, her LDL is 135 mg/dL, and her HDL is 28. Jill’s blood pressure is 142/93. Jill’s fasting glucose was 138. Jill’s LDL...
Joe is a 42-year-old African American male with an average blood pressure of 142/89 mm Hg. His most recent lipid profile revealed a total cholesterol of 210 mg/dL, HDL of 56 mg/dL, and LDL 142 mg/dL. Joe is essentially healthy with no pre-existing medical conditions. He takes no medication, has never smoked, but occasionally drinks 1-2 beers at sporting events. Joe’s 10-year ASCVD risk is_ _____% or __________ risk
Tom is a 29 yr-old engineer who works 40-50 hours per week. His BMI is is 34 kg/m^2. His total cholesterol is 192 mg/dl, LDL cholesterol = 138 mg/dl, HDL cholesterol = 41 mg/dl. His fasting blood glucose = 127 mg/dl. His resting blood pressure is 144/86 mmHg. Tom has never smoked before. He tells you that he has absolutely no time for physical activity since he devotes his free time to playing Fortnite with his friends. A review of...
Discuss the following: Patient A is a 60 year old male who smokes. he has normal blood pressure and no history of heart disease in his family. His lab results are: Total Cholesterol 240 mg/dl, HDL 80 mg/dl, LDL 95 mg/dl. Patient B is a 50 year old female. She does not smoke, and she exercises regularly. Her lab results are: Total Cholesterol 210 mg/dl, HDL 35 mg/dl, LDL 110 mg/dl. In your opinion, which patient is at higher risk...
Michael is a 65-year-old sedentary smoker who is 225 lbs and is 6 ft 3 in tall. Michael has not exercised in years and was told by his physician to start an exercise program. His resting blood pressure was measured at 150/90 mmHg. A blood lipid profile reported a total cholesterol of 189 mg/dl, HDL of 41 mg/dl and LDL of 120 mg/dl. His fasting blood glucose was reported at 88 mg/dl. His father passed away from lung cancer and...
Lipid Case Studies Three patients are seen in clinic: -Patient one is a 40 year old man with hypertension, who also smokes, but has not been previously diagnosed with CHD. His father developed CHD at age 53 years. He is fasting, and the results of his lipids include a total cholesterol concentration of 210 mg/dL, triglycerides of 150 mg/dL, and an HDL cholesterol level of 45 mg/dL. He has a fasting glucose level of 98 mg/dL. -Patient two is a...
Lipid Case Studies Three patients are seen in clinic: -Patient one is a 40 year old man with hypertension, who also smokes, but has not been previously diagnosed with CHD. His father developed CHD at age 53 years. He is fasting, and the results of his lipids include a total cholesterol concentration of 210 mg/dL, triglycerides of 150 mg/dL, and an HDL cholesterol level of 45 mg/dL. He has a fasting glucose level of 98 mg/dL. -Patient two is a...
Craig is a 55-year old male who has been relatively sedentary most of his life. He works an 8 a.m. – 5 p.m. desk job and ventures out to a fast food restaurant on most days, for his lunch. Beside the occasional nightly walk with his dog, Craig does not engage in regular physical activity. About a month ago, Craig paid a visit to his primary care physician due to frequent chest pain and shortness of breath after walking short...
Joe, a 65-year-old man, is at a high risk for heart disease. He has several risk factors: old age, type 1 diabetes, high blood pressure, smoker, family history of heart disease, overweight, inactive, and has low HDL cholesterol and high LDL cholesterol levels. Therefore, Joe thinks that heart disease is inevitable and there’s nothing he can do. Of his listed risk factors, which ones does he actually have control overand what actions can he take to possibly change his fate?
Brian Estes is a 52-year-old Caucasian male with a past medical history of hypertension and hyperlipidemia. He is at the clinic today for a yearly physical examination at the urging of his wife. He is a mid-level manager at an electronics company and has been under considerable work stress in the past six months. He admits to being a “couch potato”. He was prescribed amlodipine (Norvasc) at his last physician appointment 15 months ago. He admits to taking his medication...