Case Study

PT is a 65 yo M who comes to the emergency room complaining of chest pain. Several diagnostic tests conclude that he has suffered an MI. The registered dietitian is consulted for nutrition education. PT reports that he has gained 30 pounds in the previous year due to his hectic work schedule, which forces him to eat out often. In addition, he is physically inactive. PT also reports that he has a family history of heart disease and his father died of an MI.

HT: 5’9 WT: 190# Waist Circumference: 105 cm BP: 140/93

Cholesterol: 259

LDL: 180

HDL: 58

TG: 234

Diet Hx:

B Egg and sausage muffin Coffee D Chicken breast Mashed potatoes Iced tea

L Ham and cheese sandwich on white bread Potato chips Soda

-In addition to suffering an MI, what other diagnosis can the MD make based on the available clinical data?

Question

Case Study

PT is a 65 yo M who comes to the emergency room complaining of chest pain. Several diagnostic tests conclude that he has suffered an MI. The registered dietitian is consulted for nutrition education. PT reports that he has gained 30 pounds in the previous year due to his hectic work schedule, which forces him to eat out often. In addition, he is physically inactive. PT also reports that he has a family history of heart disease and his father died of an MI.
HT: 5’9	WT: 190#	Waist Circumference: 105 cm	BP: 140/93
Cholesterol:	259
LDL:	180
HDL:	58
TG:	234
Diet Hx:
B Egg and sausage muffin Coffee		D Chicken breast Mashed potatoes Iced tea

L Ham and cheese sandwich on white bread Potato chips Soda

-In addition to suffering an MI, what other diagnosis can the MD make based on the available clinical data?

Quizplus · Accepted Answer

The patient has multiple risk factors for metabolic syndrome, including obesity (BMI > 30), high blood pressure (BP > 130/85), high triglycerides (TG > 150), low HDL cholesterol (< 40 in men), and high fasting blood glucose (> 100). The patient also reports a sedentary lifestyle and a diet high in saturated fat and sodium, both of which contribute to the development of metabolic syndrome. This diagnosis is important to make because it increases the patient's risk of developing cardiovascular disease, type 2 diabetes, and other health complications. PT's waist circumference, blood pressure, cholesterol, LDL, HDL, and triglyceride numbers all indicate that he is at risk for metabolic syndrome.