CVD Risks case study
Number of sources: 4
A 56-year-old man comes into your office for a routine health maintenance visit. He is new to your practice and has no specific complaints today. He has hypertension (HTN) for which he takes Hydrochlorothiazide 50mg daily, and he occasionally takes a baby aspirin because someone told him that it was good forhim. He does not smoke cigarettes, drinks 4 beers daily, and does not exercise. His father died of a heart attack (MI) at the age of 60 and his mother died at the age of 72 of cancer. He has two younger sisters who are in good health. On examination, his blood pressure is 130/80 mm Hg and his pulse is 75 BPM. He is 6 feet tall and weighs 200 pounds. His complete physical exam is normal. You order routine annual labs which return with the following results: Total cholesterol 242 mg/dL; triglycerides 138 mg/dL; high-density lipoprotein (HDL) cholesterol 38 mg/dL; and low-density lipoprotein (LDL) cholesterol 168 mg/dL.
1.Using this information, calculate his 10-year CVD risk using two different risk calculators. Explain what the risk scores mean and how they relate to the patient.
2. Are there any additional physical exam findings, elements of the patientâ€™s history, or additional laboratory findings that you would want as it relates to his cardiac risk?
3. In this case study, what do you see as his risk factors for cardiovascular disease?
4. Using other resources and the Up-to-Date article titled â€œOverview of primary prevention of coronary heart disease and stroke,â€ and the current AHA/ACC lipid lowering guidelines, what are some specific recommendations you would give this patient to decrease his risk of CVD (list at least 4)?