Eugene Edwards is a 55 year-old corporate lawyer who was last seen a year ago fo

Question

Eugene Edwards is a 55 year-old corporate lawyer who was last seen a year ago for a physical examination. At that time he appeared to be in good health, although he was 15 lbs. over ideal weight for his 5’ 10” height. His blood pressure was 140/85 and total cholesterol was 225 mg/dl. He has no hobbies or outside activities except occasional golf with his friends. His workdays are sometimes long and hectic. The doctor advises him to get a daily exercise program and lose 20 lbs.

Three months later during a lawyer-client meeting he collapsed after a sudden onset of severe chest pain that radiated into his left arm. He was brought to the emergency room pale, frightened and short of breath. He was cold, sweaty and vomited shortly after arriving in the emergency room. His nail beds and lips were cyanotic and blood pressure was 100/70.

Mr. Edwards was placed on strict bed rest and a liquid diet ordered for the first 3 days, progressing to a 1000 kcal soft with low saturated fats the fourth day. The dietitian visited him and reported that he was improving in appetite and responding well and recommended he could tolerate a full diet. A 1200 kcal low-saturated fat, low-cholesterol full diet was ordered by the end of the week. The diet specifications were for cholesterol limited to no more than 300 mg. daily and total fat limited to 20% of total kilocalories, with not more than 7% in saturated fats.

Just before discharge the dietitian met with Mr. Edwards and his wife several times to discuss his home care and dietary regime. Mr. Edwards showed good general recovery and was willing to continue his new modified fat and cholesterol food plan.

Study questions

1.What is meant by the term “myocardial infarction”?

2.What were the predisposing factors in Mr. Edwards’ lifestyle that placed him in the high risk category?

3.What were the reasons for modification in texture, fats, and total caloric level in each diet prescribed for Mr. Edwards?

4.What is the relationship between Mr. Edwards’ final diet order and his lipid disorder?

5.Write a menu for one day for the 1,200 kcal, low fat, low saturated fat and limited cholesterol diet for Mr. Edwards.

6.What other advice could you give Mrs. Edwards regarding preparation and shopping for recommended foods on the diet?

Explanation / Answer

1. Myocardial infraction commonly also known as heart attack occurs when a coronary artery has been blocked by thrombus. This would lead to decrease or stop the blood flow to one particular area of the heart resulting in necrosis of the heart muscle because of prolonged shortage of oxygen supply. The symptoms include, chest pain, nausea, vomiting, shortness breath, feeling tired.

2. The predisposing factors which placed him at high risk category are:

3. Mr.Edwars had a bit high levels of cholestrol and blood pressure which is a major risk factor in myocardial infraction. So a diet with low fats, total caloric valuesand a low sodium were given so that the toal fat intake is reduced and the blood pressure is also controlled back to normal range.

4. Mr.Edward had high levels of cholestrol which is considered to be a borderline high level. So a diet low in saturated and trans fat and high is soluble fibres and high protein content are good for lowering high cholestrol levels.

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