Which of the following risk factors are most prevalent in cerebrovascular (stroke) disease?

A 45-year-old white man comes to you for the first time for a “complete physical.” He is concerned that both his father and paternal grandfather died in their fifties of stroke; further, a paternal uncle recently had a stroke leaving him left hemiparetic but functional.After a complete review of systems and examination of all sectors, he returns to review the results, including those of comprehensive laboratory testing. You have found that he has a BP of 155/98 averaged over
three determinations. His total cholesterol (TC) is 240 mg/dL, his high-density lipoprotein cholesterol (HDL-C) is 35 mg/dL, and his low-density lipoprotein cholesterol (LDL-C) is 140 mg/dL. He has smoked a pack of cigarettes per day for the past 25 years. He is employed in a high-tension occupation, that of stock trader, in which his income depends on his success on behalf of his clients. Which of the following risk
factors are most prevalent in cerebrovascular (stroke) disease?

(A) Elevated LDL-C
(B) Reduced HDL-C
© Elevated TC
(D) Cigarette smoking
(E) Hypertension

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