Mr Smith Wishes to Enroll in Your Exercise Program

Mr. Smith 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. Smith has which of the following coronary artery disease risk factors?

A) Hypertension, obesity, high total cholesterol:HDL ratio.
B) Smoking, probable diabetes, high blood pressure.
C) Smoking, high total cholesterol, aggressive type A personality.
D) Hypertension, high total cholesterol, smoking.