Clinical Case Report On John Smith Essay

Many of the risk factors for cardiovascular disease cause problems because they lead to atherosclerosis. Atherosclerosis is the narrowing and thickening of arteries and develops for years without causing symptoms. It can happen in any part of the body. Around the heart, it is known as coronary artery disease, in the legs it is known as peripheral arterial disease. The narrowing and thickening of the arteries is due to the deposition of fatty material, cholesterol and other substances in the walls of blood vessels. The deposits are known as plaques. The rupture of a plaque can lead to stroke or a heart attack. (World Heart Federation).

There are many risk factors that contribute to CHF. Some of these include diseases such as coronary heart disease (the most common type of heart disease) and heart attacks, high blood pressure, and diabetes (REF). Some of these also includes unhealthy behaviors such as smoking tobacco, eating foods high in fat, cholesterol, and sodium, not getting

Among the non-modifiable risk factors, age plays a role because naturally, over time, body tissues become weaker and more prone to damage, therefore more prone to attracting the attachment of cholesterol and platelet plaques. Genetics contributes by causing some individuals to be more prone to high cholesterol and high blood

     There are eight major contributors that result in heart disease: heredity, smoking, high blood pressure, high blood cholesterol (LDL), physical inactivity, obesity, diabetes, and arterial inflammation. The remaining seven contributors can be controlled, or at least reduced to safer levels that will help prevent or even reverse the disease, prevent a heart attack, and prolong one’s life.

A higher level of fats in the body puts the patient at higher risk for Cardiovascular diseases(CAD). The patient's' family has a history of CAD. Her mom and one of her sister have CAD (Lewis et al., 2014, pp. 733-734). The patient states that she has been taking her meds for cholesterol atorvastatin regularly. Her lipase level was 8272 on 11/11/16 and 2829 on 11/12/16 U/L 1069 on 11/13/16 (Ref range 73-393 U/L). Her HDL cholesterol level was 21 ( ref range>49 mg/dl), LDL Cholesterol level 148 ( ref range: <130 mg/dL). Patient statin drug was on hold because it is contradicted on the patient with an elevated level of ALT 80, 61(Ref range 0-50 U/L) and AST 61 on 11/12/16 and 64 on 11/13/16 (ref range 0-45 U/L). The uncontrolled level of could be the cause of concern for stroke or acute myocardial

Good evening Mr. Brown your test results came in and we found out that your Triglycerides are 145 mg/dL, Cholesterol 210 mg/dL, HDL 33 mg/dL, and LDL 160 mg/dL. Normal triglycerides means there are less than 150 milligrams per deciliter (mg/dL) which you do have which is great. A desirable level of cholesterol would be Below 200 mg/dL, and borderline high would be 200-239 mg/dL so because your cholesterol level is 210 mg/dL you are at borderline high. Ideal LDL level for people at very high risk of heart disease would be below 70 and a high level would be 160-189 mg/dL your LDL level is 160 mg/dL therefore it’s high. The best HDL

Tobacco use also increases the risk of cardiovascular diseases, whether it being smoking or chewing tobacco. The risk is particularly higher if the person started smoking at a young age, smokes heavily and/or if the person is a woman. No matter how long that person has been smoking for, stopping can make a major difference when it comes to cardiovascular diseases. Physical inactivity is also a modifiable risk factor, obesity is a big problem in many countries and it increases the risk of heart diseases by 50%. Obesity also leads people to diabetes, which is also a risk. 31% or coronary heart diseases and 11% of the strokes worldwide are due to a high diet in fats, this is a big deal in certain countries because high diets in fats are seen everywhere. Another factor is being poor. It is normal that low income will make people's lives lean towards a stressful one, one where there is social anxiety, isolation and depression, which are all reasons why a person can get cardiovascular diseases. When someone abuses alcohol, drinking more than two drinks a day, it increases their risks as well. There are a few other modifiable risk factors, such as taking certain medications.

Mr. Joseph is a 56-year-old has 30 smoking pack years. He was diagnosed 10 years ago with asthma/chronic bronchitis, arthritis of the knees, and congestive heart failure (CHF). Mr. Joseph weighs 350 pounds with a height of 6 feet, making his body mass index (BMI) of 47.5, much more than the recommended 25, and in fact his BMI places him in the morbid obesity classification. He takes medicines for his pulmonary conditions, along with a diuretic.

5. Heart Disease and Stroke- Through prevention, discovery and treatment of risk factors for heart disease increases cardiovascular health and improve the quality of life. Risk factors leading to heart disease and strokes are changes in the heart and blood vessels. Education in healthy foods, diets and exercise can decrease a potential heart attack or stroke. (Healthy People, n.d.).

Individuals are more likely to develop CVD if they have high blood pressure, high cholesterol, are obese, use tobacco, eat a poor diet, or are not physically active. Most clinical risk factors that contribute to cardiovascular disease can be modified by practicing healthy lifestyle and behavior choices (Yu, Rimm, Lu, Rexrode, Albert, Qi, Willet, Hu, & Manson 2016).

The underlying risk factors include obesity, physical inactivity and an atherogenic diet. The major risk factors for cardiovascular disease in this syndrome are smoking, hypertension, increased LDL cholesterol and low HDL cholesterol, aging and a family history of coronary events. The emerging risk factors are increased triglycerides, small LDL particles, insulin resistance, a pro inflammatory and prothrombotic state as well as glucose intolerance. The combination of these factors in one person is a predictor of that person having a future cardiovascular event or the onset of type 2 diabetes (Meigs, 2010). With so many risk factors laying down a set of defined parameters can be daunting. It is no wonder researchers often argue over set guidelines. However with more and more people developing these problems, it is necessary to start somewhere.

LDL deposits cholesterol in the arteries which cause plaque that restrict blood flow and increase the risk of a heart attack. (Timberlake, 2014, pg. 535)

Cigarette smokers are two to four times more likely to develop coronary heart disease than non-smokers, and tobacco use doubles risk for stroke. It also causes reduced circulation by narrowing the blood vessels, and it causes premature wrinkles because it constricts the oxygen and warmth from all parts of the body so the skin ages faster.

Smoking creates toxins in the blood. This greatly contributes to the development of atherosclerosis. Atherosclerosis is a condition in which fatty material is deposited along the walls of the arteries. This fatty material thickens, hardens, and can eventually block the arteries if not treated. Clots may also form around the plaque deposits. Smoking raises the levels of proteins that cause the blood to clot and also increases platelet production, making the blood stickier which further creates risk for clots. This also interferes with the blood flow and poses an added danger if they were to break off and travel through the body causeing assorted health problems such as heart attack, stroke, or gangrene.

According to Krause’s Food & the Nutrition Care Process (2011), one primary health risk involved with untreated morbid obesity is metabolic syndrome, which tends to occur with the progression of excessive visceral adipose tissue and low cardiorespiratory fitness.1 Mr. McKinley’s BMI classifies him as morbidly obese, and he works as an office manager and has had a total knee replacement, which may contribute to physical inactivity and therefore increases metabolic syndrome risk. Since Mr. McKinley has elevated triglycerides (245 mg/dL) and fasting glucose (145 mg/dL), and lowered high-density lipoprotein (HDL) levels (32 mg/dL), he meets the criteria for metabolic syndrome. The presence of