CARDIOVASCULAR RISK ASSESSMENT

35 YEAR OLD BUSINESSMAN PRESENTED TO YOUR CLINIC

BECAUSE HE IS WORRIED THAT HE MAY HAVE A HEART
PROBLEM. HIS BROTHER DIED RECENTLY AT THE AGE OF 55.
HE IS ASKING FOR ADVICE OF THE RISKS TO HAVE THE SAME
PROBLEM.
TASKS: ASSESS RISK FACTORS
COUNSEL ACCORDINGLY
Im sorry that your brother passed away recently. I know
that it is hard.
Assess risk factors:
ROS:Chest pain, palpitation, sob, le edema, calf pain
Appetite and weiht chanes:
!aterworks and bowel motion
Obstructi"e sleep apnea
Risk #actors:
$iet: what kind of food you eat
!hat is your le"el of e%ercise&
SA$ and 'uantify how much and how lon
Any (ast medical condition like diabetes, hypertension,
stroke, peripheral "ascular disease or intermittent
claudication, checked blood lipids before
)ow is you *ob like& + is it a stressful one
#amily history , - brother died of hear attach
(.: /0I
#ull cardio"ascular e%amination + carotid bruits
1ook for sins of atherosclerosis
2anthelasma, arcus sinelis,
In"estiations:
#/., 34., /S1 lipid profile, serum uric acid 5#5s, .C6
Stress test
5hallium test + radionuclide scan of the heart if the
patient can do stress test
All the in"estiations are normal. I could not fine and
abnormality in physical e%amination.. /ut because you
ha"e certain risk factors which are smokin, family
history, diet, alcohol. Stress,
7ou are a bit on a hiher risk than the eneral population.
!e can do a lot to reduce this risk factors
I could i"e you a flier about this + described in 8ational
)eart foundation Australia
Smokin + aim is complete cessation of smokin, I will
arrane another appointment for this
8utrition + healthy diet + lots of "eetables and fruits less
fat
Alcohol + up to 9 standard drinks for : days a week
(hysical acti"ity + find sometime to e%ercise
;<mins for : days a week
/risk walkin, *oin, cyclin, swimmin
/ody weiht + /0I should be =>.: ,9:
1ipids should be in the normal rane + accd to uideline
diet alone or diet with medication
/( ?=@<AB<
#/S + @,CmmolA1
)bA=c ?Dmmol
Rela%ation techni'ues + "acation, meditation, yoa,
massae