Clinical Case Database / Category: Case Based Discussion
Cardiovascular risk factors
Dr. Alistair Lindsay BSc (Hons.) MBChB MRCP
Foundation Years Journal, volume 1, issue 1, p.12 (123Doc Education, London, April 2007)
You are asked to see a 43-years-old male patient who is due to be discharged following a successful hernia operation. He is very concerned about his health as his father died of a heart attack aged 51 years, however he continues to smoke 20 cigarettes a day. Blood pressure has been measured as 165/89, but the remainder of the clinical examination is normal. An ECG shows sinus rhythm at 80 bpm, with no abnormalities seen. Fasting blood tests reveal a total cholesterol of 6.3, with an LDL level of 3.9 and an HDL level of 0.8, and the patientâ€™s fasting blood sugar is also slightly elevated at 6.5. He asks you what his chances of having a heart attack are and what can be done to minimise the risk â€“ what do you tell him?
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Dr. Alistair Lindsay BSc (Hons.) MBChB MRCP
North West Thames
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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