52 y/o African American male with ST-elevation myocardial infarction (STEMI) 6 months ago
Strong fam hx of heart disease
Patient went to cardiac rehab for the first 3 months after his MI but has just been going to the gym to ride the bike two to three times a week now. He denies unilateral weakness, numbness/tingling, or changes in vision. He denies CP and only has SOB if he really pedals hard on the bike for longer than 15 minutes. He denies changes in bowel or urinary habits. He denies any lower extremity edema.
MEDICATION LIST:
Carvedilol 25mg po bid
Atorvastatin 80mg po qd
aspirin 81mg po qd
Plogridolel 75 mg PO once daily
Lisinopril 40 mg po qd
Clothalidone 25mg po qd
BP 136/85, P 64, RR 18, T 38.2°C; Wt 102.3 kg, Ht 6′0″
Total Cholesterol 190; HDL 40; LDL 121; triglycerides 145
PE: normal heart, lung and abdomen. Liver enzymes WNL
1. Calculated patient risk of a cardiovascular event
2. What are the patients CV risk factors (consider med list)
3. Change at least one data parameter (LDL, HDL, smoking cessation, et. al) and provide the new CV risk calculation
4. Discuss what resources were most helpful in this tool – Lowering LDL-C booklet – and how it can be used in the clinic setting
Download the LDL-C Manager app by the American College of Cardiology – the URL is:
5. 2 peer reviewed references less than 5 years old
