By: Nidaa Abdeljabbar, Carlisha Phillips, Raquel Smith,

Jennifer Soriano
Patient Demographics
75 year old male
54
163 lbs
BMI: 28
Newly widowed
Retired
No known allergies
Medical History

Coronary Artery Disease (CAD)

Results from arteriosclerosis, a narrowing of the vessel and hardening of the walls. CAD can
block the blood flow to the heart muscle, causing a heart attack.
Myocardial Infarction (MI)
Blood flow stops at a part of the heart causing heart damage to the heart muscle. Most
common symptom is chest pain, or discomfort that can travel to either your shoulder, arm,
neck, or jaw.
Hypertension (HTN)
Also known as high blood pressure, a condition in which the long term force of the blood
against the artery wall is high enough that it may cause heart problems, such as heart disease
eventually
Medical History Cont.
Dyslipidemia
Abnormal amount of fat/cholesterol, known as lipids, a person may also have a low level of
HDL, high blood levels of LDL, or high levels of triglycerides. Dyslipidemia is more common in
males than females, and occurs more in when as they get older.
Renal Colic
Build up of stones, or crystals in the kidneys. When the stones interfere with the flow of urine,
the stones cause the kidneys to swell
Medical History Cont.
Herpes zoster
also known as shingles, viral skin rash manifested as clusters of blisters. Risk factors due to
old age, poor immune function, chickenpox exposure prior to 18 months of age.
Kidney stones
crystalline mineralization of mostly uric acid, struvite, cystine, or calcium. Many times due to
diet high in animal products, DM II, obesity, gout, chronic diarrhea, and chronic UTI.
Medical History Cont.
Chronic bronchitis
inflammation of the bronchial tubes due to cigarette smoking, air pollution, breathing in dust
and fumes over a long period of time. Large mucus build up in the lungs in addition to
shortness of breath, wheezing, chest tightness
Bronchitis
chest congestion, consistent cough, wheezing, and mucus build up due to inflammation in the
lungs, primarily bronchi. Flu like symptoms such as consistent soreness, runny nose, sore
throat, low grade fever.
Medical History Cont.
Angina pectoris
Chest pain due to presence of coronary artery disease, lack of oxygen to heart muscle due to
ischemia, occurs during physical exertion, only lasts about 5 minutes, feels like gas or
indigestion, can be treated with medication (i.e. nitroglycerin)
Known disease to circumflex artery
Circumflex artery supplies blood to the lateral side and back of the heart
Accumulation of fatty deposits in artery resulting in constriction of arteries decreasing blood
flow to the heart, also known as atherosclerosis
Medication List
Aspirin
NSAID (anti-inflammatory)
Blood thinner (anti-platelet)
Treatment
Reduce mild to moderate pain and fever
Reduce inflammation
Reduce risk of a MI
Prevents blood clots
Atorvastatin
Statin
Treatment
High Cholesterol and Triglyceride levels
Lower LDLs and raises HDLs
Hyperlipidemia, Peripheral Artery Disease, Atherosclerosis
Reduce risk of angina, stroke, and MI
Medications Continued
Nitroglycerine
Heart medication
Treatment
Prevent Angina
Increase vasodilation
Brilinta
Blood thinner (anti-platelet)
Treatment
Sudden reduction or blockage of blood flow
Prevent stroke, and MI
Losartan Potassium
Blood Pressure Medication (anti-hypertension)
Treatment
Reduce risk of stroke
Lowers BP
Vasodilation
Medication Continued
Finasteride
Urinary retention medication
Treatment
Enlarged prostate
Urination difficulty
Decrease urge to urinate
Better urine flow; less straining
Decrease hormone growth leading to prostate enlargement
Surgical History
Appendectomy - a surgical removal of the appendix.
typically performed to treat appendicitis
inflammation of the appendix
Indications
Acute appendicitis

Tonsillectomy - a surgical removal of the tonsils.

typically performed to treat tonsillitis (an infection of the tonsils)
Symptoms include difficulty swallowing
Indications
breathing problems related to swollen tonsils
Recurrent severe sore throats
bleeding of the tonsils
trouble swallowing, and cancer of the tonsils.
Surgical History Cont.
Percutaneous Coronary Intervention
is a non-surgical procedure that is used to
open blood vessels in the heart that have
been narrowed by plaque build up.
Use to relieve symptoms of CAD such as heart
related chest pain (angina)
Reduces heart damage before or after a heart
Attack
Improves Blood Flow
Risk Stratification
High Risk
> 45 years old
Hypertension
Dyslipidemia
Myocardial Infarction
Preliminary/ Diagnostic Evaluation
Sub-Max Treadmill Test
Resting Heart Rate (RHR): 80 Resting Blood Pressure (RBP): 110/60 Max. HR to be achieved:
RPE 11-15
Exercise Prescription
HRmax = 220 - age
220 - 75 = 145 bpm

THR = % (HRmax - HRrest) + HRrest

THR = 0.45(145 bpm - 80 bpm ) + 80 bpm
THR = 109 bpm
Exercise Prescription
Frequency: 1- 3 Times per week

Intensity: 30- 45 % VO2 Max

Time : 30- 45 Minutes per session

Type:

Light Aerobic conditioning

Body weight/ low weight resistance training
flexibility training
Example of Exercise Program