Mr. Garcia wishes to enroll in your exercise program. Preliminary evaluation revealed the following information: Age = 50 years Resting heart rate = 78 beats/min Weight = 198 lb (90 kg) Resting blood pressure = 162/94 mm Hg Height = 70 inches (178 cm) Body fat = 30% Blood chemistry: Total cholesterol = 240 mg/dl (6.21 mmol/L) HDL cholesterol = 34 mg/dl (0.88 mmol/L) Triglycerides = 180 mg/dl (2.03 mmol/L) Glucose = 98 mg/dl (5.55 mmol/L) Family history and current habits: Father died of heart attack at 90 years of age Hypertensive mother died at age 84 Smokes a pipe after dinner each evening Smokes cigarettes (25-30 per day) Reports too much work and is struggling to meet deadlines Currently doing moderate exercise No medications at present According to ACSM stratification guidelines, Mr. Garcia has which coronary artery disease risk factors?

Question

Mr. Garcia wishes to enroll in your exercise program.  Preliminary evaluation revealed the following information: Age = 50 years                             Resting heart rate = 78 beats/min                   Weight = 198 lb (90 kg)               Resting blood pressure = 162/94 mm Hg Height = 70 inches (178 cm)       Body fat = 30%              Blood chemistry:       Total cholesterol = 240 mg/dl (6.21 mmol/L)       HDL cholesterol = 34 mg/dl (0.88 mmol/L)       Triglycerides = 180 mg/dl (2.03 mmol/L)       Glucose = 98 mg/dl (5.55 mmol/L) Family history and current habits:       Father died of heart attack at 90 years of age       Hypertensive mother died at age 84       Smokes a pipe after dinner each evening       Smokes cigarettes (25-30 per day)       Reports too much work and is struggling to meet deadlines       Currently doing moderate exercise       No medications at present According to ACSM stratification guidelines, Mr. Garcia has which coronary artery disease risk factors?

Quizplus · Accepted Answer

Mr. Garcia has four major coronary artery disease (CAD) risk factors according to ACSM stratification guidelines: hypertension, high total cholesterol, smoking, and age. Obesity and high total cholesterol:HDL ratio are considered moderate risk factors, while aggressive type A personality and probable diabetes are not listed as CAD risk factors. Family history of CAD is also considered a moderate risk factor, but it is not included in the options.

Mr Garcia Wishes to Enroll in Your Exercise Program