Patient A describes pain that is midline, superior to the

Carlyn is 55 years old, vapes at least 3 cigarettes per day, and weighs 285 pounds. Carlyn has been to her PCP for her annual physical where she was told her LDL was 190 mg/dL, HDL was 30 mg/dL, and cholesterol was 247 mg/dL. Carlyn has also been told that she should cut back on the sugar because she is prediabetic. Her PCP is concerned about her blood pressure, so she has been told to monitor at home and return to the clinic with a 2 week log. Her systolic blood pressure at home has been in the 160’s and the diastolic has been in the upper 80’s. Her friend wants her to join her in a local women’s fitness BARRE class which she attends to three times per week. She knows Carlyn’s mom had died of an acute myocardial infarction when she was 58, and she fears that Carlyn’s lifestyle will result in the same position as her mom. Carlyn is not interested in exercising, stating that she has always been chunky. Answer the following questions: Is there any difference in vaping and cigarette smoking in its contribution to atherosclerotic plaque formation? What are the physiological factors responsible for weight gain in postmenopausal women? Carlyn’s FNP referred her to a dietician for strict dietary therapy, hoping the intervention would raise her HDL and lower her LDL and cholesterol levels. Why does exercising lower LDL? What specific food groups increase HDL? Atherosclerosis is thought to be an inflammatory disorder and is usually accompanied by hyperglycemia. What is the role of hyperglycemia and atherosclerosis?

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