Mr. Garcia 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
Body fat = 30%
Blood chemistry:
Total cholesterol = 240 mg/dl (6.21 mmol/L)
HDL cholesterol = 34 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 is struggling to meet deadlines.
Currently doing moderate exercise.
No medications at present.
a. hypertension, obesity, high total cholesterol: HDL ratio
b. smoking, probable diabetes, high blood pressure, age
c. smoking, high total cholesterol, aggressive type A personality
d. hypertension, high total cholesterol, smoking, age
Answer: d. hypertension, high total cholesterol, smoking, age
Age = 50 years
Resting heart rate = 78 beats/min
Weight = 198 lb (90 kg)
Resting blood pressure = 162/94 mm Hg
Height = 70 inches
Body fat = 30%
Blood chemistry:
Total cholesterol = 240 mg/dl (6.21 mmol/L)
HDL cholesterol = 34 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 is struggling to meet deadlines.
Currently doing moderate exercise.
No medications at present.
According to ACSM stratification guidelines, Mr. Garcia has which coronary artery disease risk factors?
a. hypertension, obesity, high total cholesterol: HDL ratio
b. smoking, probable diabetes, high blood pressure, age
c. smoking, high total cholesterol, aggressive type A personality
d. hypertension, high total cholesterol, smoking, age
Answer: d. hypertension, high total cholesterol, smoking, age