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A 30-year-old man with chest pain was brought to the emergency department after

ID: 161615 • Letter: A

Question

A 30-year-old man with chest pain was brought to the emergency department after a softball game. He was placed in the coronary care unit when his ECG showed erratic waves in the ST region. A family history revealed that his father died of a heart attack at the age of 45 years. The patient had always been athletic in high school and college, so he had not concerned himself with a routine physical. The laboratory tests listed in Case Study Table 15-2 1 were run. Given the symptoms and the family history, what additional tests should be recommended? If his follow-up total chol esterol remains in the same range after he is released from the hospital,  and his triglycerides and HDL-C are within the normal range, what course of treatment should be recommended?

Explanation / Answer

1). Cardiovascular diseases can also be run through family diseases, so inheritance pattern must be checked.

To further determine the causes, the patient should be tested for the lipid profile and genetic tests such as "Cardiac DNA insight test," However, result interpretation is the major problem in case of cardiovascular genetic tests.

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