Your 40-Year-Old Patient Is Hospitalized for a Myocardial Infarction, but Her

Your 40-year-old patient is hospitalized for a myocardial infarction, but her lipid levels are normal. She says that she would like to have a genetic test to see whyshe was affected at such a young age. What do you say?

A) "Heart attacks seem to be caused by a combination of many affected genes working together as well as environmental factors. There is no single gene test that will be able to identify why this happened to you."
B) "Let's talk with your nurse practitioner about scheduling a test for familial hypercholesterolemia."
C) "You really shouldn't be concerned about your genetic risk. Because you are female, it is very low."
D) "It was just bad luck combined with the fact that you were once a smoker."