Case Study
Deborah is 56 years old, smokes half a pack of cigarettes a day, and is overweight. Her friend wants her to come to a local women's fitness class she attends to once a week.
She knows Deborah's dad had died an acute myocardial infarction when he was 56, and she fears, seeing Deborah's lifestyle, the same fate awaits her friend.
What she did not know was that Deborah had also been to her doctor for her annual physical where she was told her LDLs were 180 mg/dL, HDLs were 36 mg/dL, and cholesterol was 239 mg/dL.
Please answer the following questions and submit your assignment via Blackboard by the due date. Remember to cite your answers using APA format.
1. What are Deborah's known risk factors for coronary heart disease?
2. In your list above of Deborah's risk factors, identify the risk factors that Deborah has that are considered modifiable risk factors.
3. Deborah's doctor referred her to a dietician for strict dietary therapy, hoping the intervention would raise her HDL and lower her LDL and cholesterol levels. Identify 5 dietary modifications that would be recommended to raise her HDL and lower her LDL and total cholesterol levels?
4. Deborah's doctor also gave her pamphlets describing strategies to stop smoking and a list of exercise ideas she might want to try.
a. How is smoking thought to contribute to atherosclerotic plaque formation?
b. How does exercise impact HDL's and LDL's?
5. Atherosclerosis is thought to be an inflammatory disorder.
a. What is the role of macrophages in the formation of atherosclerotic plaques?
b. What is the significance of elevated serum hs-CRP levels in individuals that are at risk for atherosclerosis?
6. Go to the American Heart Association websitethe page on Conditions.This page has a heading titled "To Learn About Heart Conditions and Stroke, Browse Any of the Topics Below."
Provide a rationale for why the American Heart Association includes diabetes as a condition on this web site.
7. Go to the WebMDwebsite and view the animation video entitled Atherosclerosis Overview
These are some additional guidelines that will help answer the questions as well.
Subject Knowledge and Accuracy
Normal physiological principles, processes, and mechanisms are explained at the molecular, cellular, and organ levels.
Physiological processes and mechanisms relating to the pathology are clearly explained.
Answers focus on substantive ideas that are supported by relevant facts and examples.
Explanations are clear and incorporate appropriate vocabulary.
Thoughtful and convincing responses clearly demonstrate depth of subject knowledge.
Information is derived from good quality, credible sources.
All questions are answered completely.
All content is current and accurate.
Bibliography / Citations / Writing
Two (2) or more sources used for the assignment (your textbook can be one of the sources).
All material that is not considered "common knowledge" is cited.
All quotations and/or paraphrasing are cited according to APA format.
The full reference for each citation is found in the bibliography.
References are listed alphabetically at end of assignment in the bibliography.
Bibliography and citations follow APA format.
Writing is free of grammatical errors.
Sentences are complete, clear, and concise.
Spelling is correct.