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Question
A 35-year-old man is admitted to the emergency department with chest pain; past history reveals other episodes of this same pain but of a shorter duration. Inquiry into his personal habits reveals that he is a cigarette smoker and that he follows a modified low-fat diet and engages in some regular exercise. His father died of ischemic heart disease at age 45, and other members of his family have had lipid-related disorders. Fasting blood is drawn for chemistry and hematology tests and urine collected for examination. Laboratory results are: Hemoglobin: 15.0 g/dL White blood cell count: MiLDL-Cy elevated Serum glucose: 120 mg/dL Serum triglycerides: 300 mg/dL Serum LDL-C cholesterol: 150 mg/dL Serum total cholesterol: 275 mg/dL Serum Enzymes Aspartate aminotransferase (AST): 60 U/L (normal: 0-45 U/L) γ-Glutamyltransferase (GGT): 70 U/L (normal: 0-45 U/L) Alkaline phosphatase (ALP): 180 U/L (normal: 0-150 U/L) Urinalysis: Normal findings
1. Which patient issues should be addressed to lower this patient's risk for a myocardial infarction?
2. What other laboratory tests would be of value?
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