Mr. Smith wishes to enroll in your exercise program. Preliminary evaluation revealed the following information:
Age = 50 years Resting heart rate = 78 beats/min
Weight = 198 lb (90 kg) Resting blood pressure = 162/94 mm Hg
Height = 70 inches (178 cm) Body fat = 30%
Blood chemistry:
Total cholesterol = 240 mg/dl (6.21 mmol/L)
HDL cholesterol = 34 mg/dl (0.88 mmol/L)
Triglycerides = 180 mg/dl (2.03 mmol/L)
Glucose = 98 mg/dl (5.55 mmol/L)
Family history and current habits:
Father died of heart attack at 90 years of age
Hypertensive mother died at age 84
Smokes a pipe after dinner each evening
Smokes cigarettes (25-30 per day)
Reports too much work and is struggling to meet deadlines
Currently doing moderate exercise
No medications at present -
According to ACSM stratification guidelines, Mr. Smith has which of the following coronary artery disease risk factors?
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