DT is a 49yr old man who started statin therapy last

year
PMH : Hypertension and Dyslipidemia
Social history: 1-2 beers per day and smokes. No
exercise
Drug history : Hydrochlorothiazide (HCTZ) 25mg daily
, Simvastatin 20mg daily .
Vitals : BP 136/84 mmhg , weight 75kg, height 70”
,waist 30”
Fasting lab reports : TC 187 mg/dL , HDL –C 40mg/dL
, LDL-C 120 mg /dL , glucose 105mg/dL , hs-CRP 4.1
mg/L
All other labs are within normal limits
1. Assess cardiovascular risk and lipid values
• The risk of having a heart attack or stroke is 12.2 %.
• The score of a healthy person with the same age, sex and ethnicity is 4%
• All the lipid values are normal .

2. Identify appropriate goals of therapy

• To control his blood pressure (136/84mmhg) near
normotension ( 120/mmhg ) and dyslipidemia by
life style modifications and drug therapy

• Management of complications which may arise

Lifestyle modifications for controlling hypertension
1. Reduce your weight.
1. In general men are at a
increased risk if their waist line
is greater than 40” , women
35”
2. Eat a healthy diet
1. A diet rich in whole grains ,
fruits and vegetables
3. Reduce sodium intake
4. Limit the alcohol consumption
5. Quit smoking
6. Decrease caffeine intake
7. Reduce stress levels
8. Monitor blood pressure at home
and consult with doctor regularly