James: 35-year-old African-American male, Weight 310, Height

James: 35-year-old African-American male, Weight 310, Height 6’1, Blood pressure 135/80, Total Cholesterol280, HDL 55, PMH: Nonsmoker, Type II Diabetes on Metformin 500 mg BID, Hypertension taking Lisinopril 10 mg daily. Janet: 26-year-old Hispanic female, Weight 145, Height 5’2, Blood Pressure 145/78, Total Cholesterol 230, HDL42, PMH: Smoker- 2 packs per day, On Insulin pump with short acting insulin running continuously, Baby Aspirin daily, Not treated for hypertension Harold: 68-year-old white male, Weight 210, Height 5’11, Blood Pressure 200/110, Total Cholesterol 210, HDL 62, PMH: Nonsmoker, No diabetes, No medications just fish oil supplements daily. Evelyn: 92-year-old Asian female, Weight 145, Height 5’0, Blood Pressure 130/65, Total Cholesterol 200, HDL 65, PMH: Nonsmoker, No diabetes, No medications Who do you think would be at higher risk for cardiovascular disease? Now, evaluate risk using the ASCVD Risk Calculator for pooled cohort equation. Did anything surprise you?

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