A Case Study on Bill M.

Directions

To determine your understanding of cardiovascular health and wellness, read the following case study and answer the accompanying questions.

Bill a 38-year-old man who is 5'8" tall and weighs 205 1b., has the following history:

• His father died of a heart attack at age 48 years; his grandfather died of a heart attack at age 52 years.
• His cholesterol level is 256 mg/dl, LDL is 172 mg/dl, and HDL is 40mg/dl.
• His blood pressure is consistently in the 150/95 range.
• He smokes one pack of cigarettes per day.
• He drinks six to eight brewed cups of coffee daily.
• He eats two eggs with bacon or sausage and buttered toast daily.
• Meat is a major part of supper; he skips lunch.
• His favorite snacks are ice cream, buttered popcorn, and salted peanuts.
• He occasionally plays tennis on Sunday afternoons.
• He owns his own business and often works 55 to 60 hours per week.

Answer the following:

1. What are his risk factors for coronary heart disease?
2. Which of these can he control?
3. What suggestions can you give him regarding his current diet?
4. What effect may a change in diet have on his coronary risk profile?
5. What suggestions can you make regarding his need for exercise, and how might a change in his activity level affect his coronary risk profile?
6. What are the risks associated with obesity?