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) A 47-year-old Chinese-American man comes to the office for a routine follow-up visit. His medical problems include hypertension, diabetes mellitus type-2, and hypercholesterolemia. He has smoked one pack of cigarettes daily for 20 years. His medications include aspirin, ramipril, metformin, and pravastatin. Examination shows no abnormalities. His temperature is 36.7 C (98 F), blood pressure is 140/82 mmHg, pulse is 74/min., and respirations are 14/min. His LDL cholesterol level is 140 mg/dL. Which of the following is the most effective strategy to decrease this patient's risk for developing acute coronary artery disease?

A. Stopping smoking
B. Strict diabetes control
C. Decreasing LDL cholesterol
D. Control of hypertension
E. Exercise

C.

bbbbbbbbbbb

c. he has at least 2 risk factors, not including the diabetes he has, which altogether put him at risk of greater than 10% for developing CAD. his threshold of getting statin started is LDL of 130. so he need a drug to lower his LDL.

ccc

bbb

Answer is C.

Stroke - HTN
CAD- DM
PVD- smoking

All above are strongest risk factor association.

@step3turn,

whats final ans ?? plz explain