A 53-year-old woman presents to the clinic for her yearly physical. She is concerned about heart disease because her mother recently had a myocardial

Subject
Medicine
System
Cardiology & Vascular System, Public Health & Preventive Medicine

Kathryn

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Jul 29, 2020
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A 53-year-old woman presents to the clinic for her yearly physical. She is concerned about heart disease because her mother recently had a myocardial infarction at age 74 years and her father passed away from heart disease at the age of 63 years. She is a high school teacher who smokes a half-pack of cigarettes per day. Her blood pressure during the last two office visits was 122/69 and 128/73 mm Hg. Her last measured HDL cholesterol level was 63 mg/dL. On physical examination she is close to her ideal body weight, and there are no abnormalities. Which of the following is an appropriate goal for this patient’s LDL cholesterol level?
(A) 100 mg/dL or less
(B) 130 mg/dL or less
(C) 160 mg/dL or less
(D) 200 mg/dL or less
(E) Direct therapy at raising the HDL cholesterol level, not reducing LDL cholesterol
 
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