A 48-year-old woman was seen by her primary physician for a routine physical exa

Question

A 48-year-old woman was seen by her primary physician for a routine physical examination. Her father and his brother died before the age 55 with acute MI and another uncle had CABG surgery at age 52. Because of this family history, she requested or any testing that might indicate a predisposition or increased risk factors for early cardiac disease. She does not smoke, does not have hypertension, is approximately 20 lb overweight, and exercises moderately. The following test results were obtained. Total cholesterol (

Explanation / Answer

1. Lipoprotein is slightly more than the desired i.e. 34 mg/dL that is more than the desired one that is 30mg/dL and Triglycerides are also out of limit. A high level of homocysteine and Hs CRPSo, these results indicate the high risk of development of cardiac disease.

2.

Risk factors for developing heart disease include:

so, she should make slight changes in the diet, so, as to reduce weight and can add on to the regular exercise in her daily life

3. Triglycerides lowering drugs might be added. Lovaza or statins are approved for lowering triglycerides. although these are given only if the triglycerides are more than 500 mg/dL. Here in this case instead of relying on this drug right now, it is important to Reduce or eliminate intake of vegetable fats and highly processed trans fatty acids.

4. lipid profile to be done every 6 months to keep a check on the levels of triglycerides.

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