Marie, a 42-year-old female with a past

Marie, a 42-year-old female with a past medical history of hypertension, hyperlipidemia, and diabetes mellitus type 2, presents to the clinic for an evaluation. Her father recently died from a myocardial infarction at the age of 61 years. The patient is a highly active individual at home and works in construction. She smokes 1 pack per day and drinks 2 to 3 beers per month. She states she feels good but is concerned because of her dad dying of a heart attack so early. The patient states she has an identical twin brother who also has hypertension, diabetes mellitus type 2, smokes 1 pack of cigarettes per day, but does not drink any alcohol. She is concerned about her and her brother’s risk of myocardial infarction. Which of the following statements most accurately compares the siblings’ cardiovascular risks? Both she and her brother are at increased risk because of their comorbidities and family history but it is impossible to say if one has a higher risk than the other. While both are at risk for coronary vascular disease, she is at an increased risk over her brother because she consumes alcohol. While both are at risk for coronary vascular disease and smoke, she is at an increased risk compared to her brother because of her smoking history and being female.

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