A 58 year old Caucasian woman with a history of hypertension and type 2 diabetes mellitus presents for a routine
A 58 year old Caucasian woman with a history of hypertension and type 2 diabetes mellitus presents for a routine physical exam she has a family history of coronary artery disease in her mother and sister she smokes half a pack of cigarettes per day and drinks alcohol socially her blood pressure is 138/80 mm HG on Hydrochlorothiazide 25 mg daily her glucose is controlled with metformin and her last glycosylated hemoglobin level is 6.6 %. her vital signs are within normal limits and her examination is unremarkable BMI is 29 kg and squared a fasting lipid panel is obtained and results are as follows total cholesterol 260 mg-dl LDL 150 mg-dl HDL 42 mg DL triglycerides to 100 mg DL. you use an online calculator to calculate that her 10-year arthersclerotic cardiovascular disease is risk is 22% which of the following is the best answer ? A. she has three major risk factors for her heart disease B. her weight is a major risk factor for heart disease see her C. Target cholesterol levels should include LDL less than 130 mg DL D. based on her 10 year risk of ascvd a Statin is appropriate
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