The case
A 53-year-old woman visits her general practitioner because she is worried about her risk of having a myocardial infarction (MI). Her father died at age 65 following an ST-Elevation Myocardial Infarction (STEMI) and began having angina in his 50s. She began smoking in her late teens as her parents smoked. She currently smokes one pack per day. She has no siblings and no current medications.
She has a BMI of 30, and she has a waist circumference of 90 cm. She recently started walking every weekend with friends for 1 hour. Her BP is 143/87 and HR 76 and regular.
Her blood tests show the following results:
- TCHOL: 298mg/dL (7.7 mmol/L)
- LDL: 212 mg/dL (5.4 mmol/L
- HDL: 45 mg/dL (1.16 mmol/L)
- HbA1C: 5.1%
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