55-year-old sedentary black male

Almond

Description

 

 

Complete the following case study.

Subject is 55-year-old sedentary black male, an executive at a nearby computer corporation. His job requires him to be out of town two to three days per week, and he generally feels an inability to get everything done. He smokes 1½ packs of cigarettes a day. His mother died of a stroke at the age of 68, and his father died of a heart attack at the age of 70. Physical characteristics: Height = 70 inches, weight = 199 lbs., and body fat = 23%. His resting blood pressure is 130/85, and his resting pulse rate is 76. Blood chemistry values were: total cholesterol = 300 mg/dl; HDL cholesterol = 35 mg/dl; glucose = 100 mg/dl; triglycerides = 190 mg/dl. The results of a graded exercise test follow:

Speed Grade Mets Heart Rate Blood Pressure RPE Comments
3 mph 2.5% 4.3 110 105/84 9 EKG-ok
3 mph 5.0% 5.4 124 160/84 11 EKG-ok
3 mph 7.5% 6.4 138 175/86 13 EKG-ok
3 mph 10% 7.4 156 190/84 15 EKG-ok
3 mph 12.5% 8.5 180 200/86 18 Fatigue

1. List the modifiable and nonmodifiable risk factors for heart disease.

2. Explain the benefits of regular exercise to this person. Make it relevant to their current health status.

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