Christian is a 35 year-old man who is extremely concerned about his risk for cardiovascular disease.

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Asked by BrigadierSalomon1357

Christian is a 35 year-old man who is extremely concerned about his risk for cardiovascular disease. He has not visited his primary care provider for many years because he has been “afraid of what he might learn.” He has decided its time to investigate, since his brother who 41 was diagnosed with CAD after an episode of chest pain was investigated and treated in the ED

He has two brothers, one is 41 (noted above) and the other is 39 and apparently healthy.

His father died of MI at age 51.

His mother is still living at age 67. She has rheumatoid arthritis. She does not suffer from any CV disease.

His father’s father died of heart failure at age 63, after suffering several mild heart attacks “in his early years.” His paternal grandmother died following a hip fracture/hospitalization at age 72.

He has a paternal aunt and a paternal uncle. The paternal uncle died at age 56 of a heart attack. The paternal aunt suffered from “TIAs” in her 60s, and had a non-fatal MI at age 65.The aunt had two daughters ages 40 and 42 now. He does not know much about their health. His paternal uncle had a son and daughter, ages 40 and 37 now. They are living, but nothing is known of their health either.

Christian is married and has two kids, a boy age 10 and a girl age 8.

What testing should we start with?
Is there any genetic testing that should be considered?
If our patient tests positive for the suspected disorder is there treatment available to him?
Will the results of Christian’s tests affect how we care for others in his family?
SCIENCE
HEALTH SCIENCE
NURSING
NUR 424

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