07-25-2009, 02:17 PM
An asymptomatic 57 y/o man comes to the physician before beginning a jogging program. He has a sedentary lifestyle and has smoked two packs of cigarettes daily for 30 yrs. His blood pressure is 150/88. Examination shows no other abnormalities. An ECG shows normal findings. His serum cholesterol level is 250 mg/dL. Which of the following is the most appropriate next step in management?
A) Referral to a supervised exercise program
B) Ambulatory blood pressure monitoring
C) Ambulatory ECG monitoring
D) Exercise stress test
E) Echocardiography
Any thoughts?
A) Referral to a supervised exercise program
B) Ambulatory blood pressure monitoring
C) Ambulatory ECG monitoring
D) Exercise stress test
E) Echocardiography
Any thoughts?