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 nurseworks 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 98.5F; 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.
See cardiovascular diagnostics table in the text on page 157.
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?
