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Date of Graduation
Capstone Project (On-Campus Access Only)
Master of Science in Physician Assistant Studies
Coronary heart disease (CHD) is the leading cause of morbidity and mortality in the United States, Europe, and much of Asia. Serum cholesterol has been identified as a major risk factor for CHD, however, 50% of patients who suffer from myocardial infarction have cholesterol levels in the normal range. The present investigation is a retrospective analysis comparing characteristics of patients with MI and normal LDL, and patients with MI and abnormal LDL. Thirty- five records from a family practice clinic in Sutherlin, Oregon were retrieved for patients with MI seen between 2000 and 2004. Patient demographics and characteristics were gathered based on history and physical exam, medical condition list, current medication list, social history and most recent lipid panel. Outcome data found: Group 1 had a greater percentage of patients with hypertension 81.0% vs. 64.3%, and smoking history 52.4% vs. 28.6%. Additionally, Group 1 had a greater percentage (52.4% vs. 28.6%) of patients who exercised on a routine basis and a lower number of patients with obesity (BMI >30), 47.6% vs. 64.3%. Of the thirty-five patients who experienced an MI, 21(60%) had a serum LDL of >100mg/dl. Patients in with MI and normal LDL did not have a greater percentage of other controllable risk factors than patients with MI and abnormal LDL. The percentage of patients with MI elevated LDL was greater than expected.
McCaskill, Chenelle, "Characteristics of Patients Who Experienced a Myocardial Infarction in a Family Practice Clinic" (2004). School of Physician Assistant Studies. 115.