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April 9, 2024

cASE STUDY WEEK 3

Mr. Delano comes in to discuss the results of cardiovascular diagnostic tests. He is a 61-year-old White man with no complaints. Past medical history: left hip osteoarthritis and gout; Past surgical history: none; Allergies: none known; Medications: allopurinol 100 mg by mouth once a day; Social history: one to two alcoholic drinks three times a week; smokes one cigar every other month; exercises for 1 hour six times a week; retired nurse—works per diem at hospital once a week; Family history; mother, father, and one bother with hypertension; one brother with dyslipidemia.

Physical exam: vital signs – temperature 98.5°F; pulse 60 beats per minute; respirations 20 per minute; and blood pressure 134/67 mmHg; height 180 cm; weight: 85.5 kg; body mass index 26.3; physical exam unremarkable.

Answer the following questions based on this scenario.

Which of the cardiovascular diagnostic values demonstrate dyslipidemia and risk for atherogenesis?

Interpret and describe lipoprotein subfractions and apolipoproteins results.

Which of the cardiovascular diagnostic values are in the cardioprotective range?
What lifestyle recommendations, such as diet and exercise will be made based on these results?
What is his ASCVD risk score? What parameters (e.g., blood pressure) are used to calculate the risk score?

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