PT is a 65 yo M who comes to the emergency room complaining of chest pain. Several diagnostic tests conclude that he has suffered an MI. The registered dietitian is consulted for nutrition education. PT reports that he has gained 30 pounds in the previous year due to his hectic work schedule, which forces him to eat out often. In addition, he is physically inactive. PT also reports that he has a
family history of heart disease and his father died of an MI. HT: 5'9 WT: 190# Waist Circumference: 105 cm BP: 140/93 Cholesterol: 259 LDL: 180 HDL: 58 TG: 234 Diet Hx: B Egg and sausage muffin Coffee L Ham and cheese sandwich on white bread Potato chips Soda D Chicken breast Mashed potatoes Iced tea Cheesecake Based on the available clinical data, what additional diagnosis might be made in this case?
a. hyperhomocysteinemia
b. heart failure
c. peripheral vascular disease
d. metabolic syndrome
e. atrial fibrillation
d
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