A 60-year-old male is being admitted to the hospital complaining of chest pain with ST segment depression on his ECG and nausea
His laboratory results are: increased homocysteine, increased c-reactive protein, decreased high-density lipoproteins, decreased hemoglobin, and normal cholesterol. Which of these laboratory results increases the risk of an acute cardiac event? 1. Homocysteine, c-reactive protein, and high-density lipoproteins
2. Homocysteine, c-reactive protein, hemoglobin, and cholesterol
3. C-reactive protein, hemoglobin, and cholesterol
4. Homocysteine, c-reactive protein, hemoglobin, and high-density lipoproteins
Homocysteine, c-reactive protein, and high-density lipoproteins
Rationale: Elevations in homocysteine and c-reactive protein and a decrease in high-density lipoproteins increase the risk for heart disease. Because high-density lipoprotein is the good cholesterol that helps prevent the build-up of plaque in the wall of the arteries, the level should be high. The hemoglobin and cholesterol levels do not place the patient at increased risk.
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