Cardiovascular disease

A two-act cardiac case — stable angina accelerating, then a nocturnal ST-elevation event — with six questions running from diagnosis through STEMI/NSTEMI, MI pathophysiology, ischemia distinctions, sudden cardiac death, and post-MI complications.

Larry M. — 60, hypertensive, three days past a three-minute episode of chest heaviness, dyspnea, nausea and diaphoresis he insists was nothing — through a question set demanding one primary diagnosis with ICD-10 codes, evidence-based testing, lead localization, secondary diagnoses, a JNC 8 verdict and a guideline therapy plan.

For CF, a 60-year-old African American man with twelve years of hypertension and type 2 diabetes on Maxzide alone at 162/90, discuss how age, gender and ethnicity influence antihypertensive choice, then give one option for improvement with dosage, scheduling, justification and patient teaching.

Using the Mr Smith case, explain his modifiable risk factors for heart disease, calculate his BMI and the weight loss needed, recommend a fat intake in grams with foods to limit and heart-healthy fats to include, and propose three nutritional interventions, in roughly 250 words on the worksheet.