You are referred as 49yrs old man for an ongoing care after having suffered an acute myocardial infarction. The results from the cardiologist state the patient is apparently not hypercholesterolaemic but is somewhat obese and his father died of heart attack at 59yrs of age. On clinical examination you confirmed obesity (BMI-31), the patient's BP is 165/105mmHg, he admits to smoking 20-30 cigarettes a day until his AMI, but not over evidence of hyperlipidaemia is detected. Other than his father there is no clear history of coronary artery disease (CAD) in his family. His total fasting cholesterol is 5.2mmol/L, HDL-cholestrol- 0.8mmol/L, triglycerides 2.7mmol/L. Reference Total cholesterol (3.10-6.50mmol/L) HDL- cholesterol (1.03-1.55mmol/L) Triglycerides (0.3- 1.70mmol) LDL- cholesterol (2.60-4.90mmol/L) A) discuss the lipid profile in terms of its risk potential and causation. B) discuss the overall risk of the patient C) what other laboratory determination may be useful in assessing this patient
You are referred as 49yrs old man for an ongoing care after having suffered an acute myocardial infarction. The results from the cardiologist state the patient is apparently not hypercholesterolaemic but is somewhat obese and his father died of heart attack at 59yrs of age. On clinical examination you confirmed obesity (BMI-31), the patient's BP is 165/105mmHg, he admits to smoking 20-30 cigarettes a day until his AMI, but not over evidence of hyperlipidaemia is detected. Other than his father there is no clear history of coronary artery disease (CAD) in his family. His total fasting cholesterol is 5.2mmol/L, HDL-cholestrol- 0.8mmol/L, triglycerides 2.7mmol/L.
Reference
Total cholesterol (3.10-6.50mmol/L)
HDL- cholesterol (1.03-1.55mmol/L)
Triglycerides (0.3- 1.70mmol)
LDL- cholesterol (2.60-4.90mmol/L)
A) discuss the lipid profile in terms of its risk potential and causation.
B) discuss the overall risk of the patient
C) what other laboratory determination may be useful in assessing this patient
D) outline the year approach to treatment
E) list four physiological importance of lipids
F) list four pathophysiological importance of lipids
Step by step
Solved in 2 steps
