Question

Scenario:

A patient presents to the office for her annual physical.  During the Review of Systems (ROS) portion of the physical, the patient reveals that she has had periodic shortness of breath, primarily during exertive activities.  The patient also stated her level of physical activity is minimal to none and she described her diet as “take out or from freezer.”  Based off this scenario and the following lab results, answer the questions:

Diagnostic / Lab Results
Date	Type	Notes	Provider Verified
12/17/2008	Path/Lab	Lipid Panal:	SPN
		Total Cholesterol: 209 mg/dL
		HDL 50 mg/dL
		LDL 118 mg/dL
		VLDL 26 mg/Dl
		Triglycerides 205 mg/dL
		Chol/HDL Ratio 4.18 mg/dL

Is the patient discussed in the scenario at an elevated risk of developing coronary artery disease, peripheral artery disease, both, or neither?  Explain your reasoning.

  Your response should be less than 75 words.

Answer 1

The level of total cholesterol,LDL and Triglycerides are elevated in this patient .This results in dictates that the patient is at risk of developing coronary artery disease and peripheral artery disease .The Chol/HDL ratio is also elevated at 4:18 (normal 5:1). This is a typical indicator to identify the risk factor for any cardiovascular disease .Apart from this her very minimal physical habit and poor dietary practice together makes her at elevated risk for CAD and PAD.