Which of the following patients on a subacute geriatric medicine unit is likely at the highest risk for experiencing a cerebrovascular accident (CVA)?
A) Mr. L, age 79, who has poorly controlled hypertension and smokes half a pack of cigarettes daily.
B) Mrs. H, a 90-year-old woman, who has a diagnosis of vascular dementia.
C) Mr. J, a 77-year-old man, who has experienced an upper GI bleed and required a transfusion of packed red blood cells.
D) Mrs. N, age 83, who has had a recent fall resulting in a broken left wrist and hip.
A
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Hypertension and smoking are significant risk factors for CVA. The other cited health problems are less closely associated with stroke.
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