Reference no: EM133570045

Question: Roger is a 50 year old, married, architect with two children. He spends 55-65 hours per week at work. Height = 5'11" Weight = 245 Ib Total Cholesterol = 194 mg/dL LDL = 137 mg/dL HDL = 42 mg/dL Triglycerides = 200 mg/dL Blood Glucose = 120 mg/dL Resting HR = 83 BPM Blood Pressure = 146/87 mm/Hg Waist Circumference = 43 Hip Circumference = 41 Roger indicates that he does not smoke but he has one to two glasses of wine or beer with dinner. He exercises once or twice per month and reports no leisure time physical activity. Roger admits he has gained 20 pounds over the last 2 years and suffers from obstructive sleep apnea but denies all complaints of chest pain and shortness of breath at rest or exertion. Roger's father had heart bypass surgery at 54 and suffered a fatal heart attack (myocardial infarction) at 61. His 42 year old brother is hypertensive and has type 2 Diabetes which is being treated with dietary modifications and exercise recommendations.

Roger has been referred to you for coronary artery disease risk factor reduction and physical activity counseling. Considerations The presence or absence of EACH CVD risk factor Any signs or symptoms suggestive of disease The recommendation for medical clearance before the HRPF assessment or exercise.

Question 1. CVD Risk Factors - Identify EACH Risk Factor and Explain Why EACH is Present or Absent with Roger

2. Signs or Symptoms Suggestive of Disease - Identify EACH Sign/Symptom and Explain Why EACH is Present or Absent with Roger

3. What are Your Recommendations for Medical Clearance Before HRPF Assessment or Exercise?