Which individual listed below would be at the greatest risk for developing heart disease?
1. 35-year-old with diabetes mellitus and prehypertension
2. 75-year-old with Parkinson's disease and normal blood pressure
3. 52-year-old with osteoporosis and stage 1 hypertension
4. 68-year-old with stage 2 hypertension and recent myocardial infarction
4
Rationale 1: Cardiac tissue weakens as people age and can be caused or accelerated by chronic hypertension, myocardial infarction, diabetes mellitus, and other cardiac-related diseases. This patient is at somewhat less risk due to age.
Rationale 2: Cardiac tissue weakens as people age and can be caused or accelerated by chronic hypertension, myocardial infarction, diabetes mellitus, and other cardiac-related diseases. This patient has no other risk factors except age.
Rationale 3: Cardiac tissue weakens as people age and can be caused or accelerated by chronic hypertension, myocardial infarction, diabetes mellitus, and other cardiac-related diseases. Osteoporosis is not a risk factor.
Rationale 4: Cardiac tissue weakens as people age and can be caused or accelerated by chronic hypertension, myocardial infarction, diabetes mellitus, and other cardiac-related diseases. The 68-year-old patient has the most risk factors for developing heart failure.
Global Rationale: Cardiac tissue weakens as people age and can be caused or accelerated by chronic hypertension, myocardial infarction, diabetes mellitus, and other cardiac-related diseases. The 68-year-old patient has the most risk factors for developing heart failure.
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