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
-Based on the available clinical data, what additional diagnosis might be made in this case?

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
-Based on the available clinical data, what additional diagnosis might be made in this case?

Quizplus · Accepted Answer

Based on PT's clinical data, he meets three of the five criteria for metabolic syndrome: elevated blood pressure, elevated triglycerides, and central obesity (based on waist circumference). The fact that he also has a family history of heart disease and has already experienced an MI puts him at even greater risk for cardiovascular complications. It is important for PT to make lifestyle modifications, including dietary changes and increased physical activity, to manage his metabolic syndrome and overall cardiovascular risk.

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