1. Risk Factors
The risk factors for myocardial infarction are divided into two categories: the modifiable risk factors and the non-modifiable risk factors. Modifiable risk factors are those whose effects can be reversed by changing the lifestyle, routine or circumstances surrounding such risk factor. Mr. Vargas, for example, have the following modifiable risk factors: smoking, a sedentary lifestyle and stress. Non-modifiable risk factor are those that the person is pre-disposed to and cannot be changed. However, the effects of risk factors can be controlled or reduced by changing the person’s lifestyle or particularly, his modifiable risk factors. For Mr. Vargas, it is his age, gender and presumed obesity.
Smoking is considered as a major risk factor for and one of the top causes of morbidity and mortality of cardiovascular disease (European Society of Cardiology 2014). A cigarette smoke has about 4000 chemical substances including nicotine and carbon monoxide that gives a damaging effect to cardiovascular …show more content…
Vargas is smoking, it is recommended to give the patient a brief intervention which should involve advice, discussion, negotiation and encouragement for smoking cessation (Young et. al 2008). Mr. Vargas will be referred to an intensive support service for smoking cessation such as the NSW Quitline and may be given referral for pharmacotherapy option with the appropriate health care professional and according to relevant guidelines. Referral should be a normative strategy for smoking cessation to complement other practice-based support (Borland et. al