PT, a 65-year-old male, 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. Height: 5'9"
Weight: 190 lbs
Waist circumference: 105 cm
BP: 140/93
Cholesterol: 259 mg/dL
LDL: 180 mg/dL
HDL: 58 mg/dL
TG: 234 mg/dL
Diet routine:
Breakfast: Egg and sausage muffin
            Coffee
Lunch: Ham and cheese sandwich on white bread
         Potato chips
         Soda
Dinner: Chicken breast
        Mashed potatoes
          Iced tea
        Cheesecake
-Which is an example of a modifiable risk factor that contributed to PT's condition?

Question

PT, a 65-year-old male, 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. Height: 5'9"
Weight: 190 lbs
Waist circumference: 105 cm
BP: 140/93
Cholesterol: 259 mg/dL
LDL: 180 mg/dL
HDL: 58 mg/dL
TG: 234 mg/dL
Diet routine:
Breakfast: Egg and sausage muffin
            Coffee
Lunch: Ham and cheese sandwich on white bread
         Potato chips
         Soda
Dinner: Chicken breast
        Mashed potatoes
          Iced tea
        Cheesecake
-Which is an example of a modifiable risk factor that contributed to PT's condition?

Quizplus · Accepted Answer

PT's weight and waist circumference indicate obesity, which is a modifiable risk factor that contributed to his condition.

Answer: A, B, E
 PT needs to make significant dietary and lifestyle changes to manage his weight and reduce his risk of further cardiac events. A healthier breakfast option would be whole-grain toast with avocado and egg whites, along with unsweetened tea or water. For lunch, he could opt for a salad with grilled chicken or fish, or a sandwich on whole-grain bread with lean turkey or chicken, lots of vegetables, and mustard or hummus instead of high-fat condiments. He could pack a piece of fruit and unsalted nuts for a snack. For dinner, he could have grilled or roasted salmon with vegetables and quinoa or brown rice, or grilled chicken with a sweet potato and a green salad. Dessert can be a piece of fruit or a small serving of low-fat yogurt. In addition to dietary changes, PT should work with his healthcare team to develop an exercise plan that fits his abilities and preferences. This may include walking, cycling, swimming, or strength training. PT should also quit smoking and limit alcohol consumption to one drink per day (or less). Medications and regular check-ups with his healthcare team will also be important components of his treatment plan.

PT, a 65-Year-Old Male, Comes to the Emergency Room Complaining