Case Studies

These patient profiles represent hypothetical patients.  Images do not depict actual patients.

Sam

Sam is a 55-year-old man with a family history of CAD who is overweight and taking medication for hypertension. He denies experiencing chest pain or dyspnea. He was a heavy smoker but says he's down to 2 cigarettes a day.

Examination

Vital signs

  • Height: 5'7"
  • Weight: 213 lb
  • Blood pressure: 140/95 mm Hg
  • Heart rate: 85 bpm
  • Total cholesterol: 240 mg/dL
  • High-density lipoprotein (HDL): 40 mg/dL

Electrocardiogram (ECG)

  • ST-segment abnormalities

Estimated Risk

  • 10-Year ASCVD Risk: 23.6%
  • Lifetime ASCVD Risk: 69%2

Nora

Nora is a 65-year-old woman who says she gets chest tightness when walking upstairs but has no symptoms at rest. She is taking medication for diabetes and hypertension. She has a history of mitral valve prolapse and esophageal stricture. Last year, she had a hip replacement.

Examination

Vital signs

  • Height: 5'4"
  • Weight: 191 lb
  • Blood pressure: 146/98 mm Hg
  • Heart rate: 60 bpm
  • Total cholesterol: 300 mg/dL
  • HDL: 35 mg/dL

ECG

  • Right bundle-branch block (RBBB), ST-T wave abnormalities at rest, and ST changes on stress

Estimated Risk

  • 10-Year ASCVD Risk: 25.7%2,a
  • aLifetime risk estimate only provided for individuals aged 20-59 years.

Mike

Mike is a 50-year-old man scheduled to undergo abdominal aortic aneurysm surgery. He is not experiencing any chest pain. He is sedentary and gets winded climbing 2 flights of stairs. He's a former smoker with diabetes.

Examination

Vital signs

  • Height: 5'11"
  • Weight: 204 lb
  • Blood pressure: 135/80 mm Hg
  • Heart rate: 85 bpm
  • Total cholesterol: 205 mg/dL
  • HDL: 36 mg/dL

Heart

  • Regular rate and rhythm, no murmur

ECG

  • Some baseline abnormalities

Estimated Risk

  • 10-Year ASCVD Risk: 10.4%
  • Lifetime ASCVD Risk: 50%2

Shirley

Shirley is a 47-year-old woman who has slight stress-related chest pain. For the past 2 years, she has been taking medication for hypertension. She is moderately physically active.

Examination

Vital signs

  • Height: 5'9"
  • Weight: 182 lb
  • Blood pressure: 180/95 mm Hg
  • Heart rate: 92 bpm
  • Total cholesterol: 200 mg/dL
  • HDL: 40 mg/dL

ECG

  • ST-segment abnormality

Estimated Risk

  • 10-Year ASCVD Risk: 4%
  • Lifetime ASCVD Risk: 50%2

ASCVD = atherosclerotic cardiovascular disease.