Mr. Garcia 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.
Garcia has which coronary artery disease risk factors?