Case Study
1. Coronary Artery Disease is briefly described as a plaque blockage cutting off blood flow to your heart. Cholesterol deposits slowly, over decades, build up in the vessel wall and cause a decrease in blood flow. A patient with decreased blood flow to the heart may have angina, shortness of breath, and in some cases a myocardial infarction.
2. Mr. S's BMI is calculated using his height and weight, once I did the calculation I determined that Mr. S's BMI is 25.8, and according to the National Heart Lung and Blood Institute he is categorized as “overweight”, but just barely. The interval for qualifying as overweight is 25-29.9 so he qualifies, but with a small weight reduction of seven pounds he could drop to “normal weight”. The equation to calculate BMI is weight/height squared times 703.
3. I do believe that Mr. S has clinically significant C.A.D. He is overweight, has high blood pressure, type 2 diabetes, smokes, high levels of stress, high cholesterol, low HDL levels, and high LDL and triglyceride levels, as well as chest pain upon exertion. His weight, type 2 diabetes, smoking, and high levels of stress are significant risk factors that predispose him to C.A.D. His actual test results show me that he is more than qualified to have developed C.A.D. And his chest pain upon exertion may show that he's already developed a significant amount of blockage.
4. I would suggest that Mr. S reduces his stress level, however knowing that he has a type A personality, he may find it difficult. He also needs to cease smoking completely, and lose some weight, as I previously mentioned a weight reduction of not even ten pounds could drop his BMI down to a normal weight range. He also needs to change his eating habits. If Mr. S saw a nutritionist he could get a diet tailored to his specific needs as he has diabetes and high cholesterol and blood pressure levels. He should also begin mild to moderate exercise upon clearance from his doctor. I believe that all of
2. Mr. S's BMI is calculated using his height and weight, once I did the calculation I determined that Mr. S's BMI is 25.8, and according to the National Heart Lung and Blood Institute he is categorized as “overweight”, but just barely. The interval for qualifying as overweight is 25-29.9 so he qualifies, but with a small weight reduction of seven pounds he could drop to “normal weight”. The equation to calculate BMI is weight/height squared times 703.
3. I do believe that Mr. S has clinically significant C.A.D. He is overweight, has high blood pressure, type 2 diabetes, smokes, high levels of stress, high cholesterol, low HDL levels, and high LDL and triglyceride levels, as well as chest pain upon exertion. His weight, type 2 diabetes, smoking, and high levels of stress are significant risk factors that predispose him to C.A.D. His actual test results show me that he is more than qualified to have developed C.A.D. And his chest pain upon exertion may show that he's already developed a significant amount of blockage.
4. I would suggest that Mr. S reduces his stress level, however knowing that he has a type A personality, he may find it difficult. He also needs to cease smoking completely, and lose some weight, as I previously mentioned a weight reduction of not even ten pounds could drop his BMI down to a normal weight range. He also needs to change his eating habits. If Mr. S saw a nutritionist he could get a diet tailored to his specific needs as he has diabetes and high cholesterol and blood pressure levels. He should also begin mild to moderate exercise upon clearance from his doctor. I believe that all of