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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