Advanced I-Human Week 7 Case: Hypertension And Dyslipi

ADVANCED I-HUMAN WEEK 7 CASE: HYPERTENSION AND DYSLIPIDEMIA IN A 57-YEAR-OLD MALE | COMPLETE CLINICAL ASSESSMENT & MANAGEMENT PLAN Case Introduction: Felipe Garcia Chief Concern: Poorly controlled cardiovascular risk factors in a high-risk individual. Opening Vignette: Felipe Garcia is a 57-year-old construction project manager who presents for a routine follow-up visit with a primary concern that his home blood pressure readings remain "too high." Despite a decade-long diagnosis of hypertension and eight years of known dyslipidemia, both conditions remain suboptimally managed. He arrives carrying a well-kept but concerning home blood pressure log, averaging 156/94 mmHg, and expresses anxiety about following in his father's footstepswho died prematurely from a myocardial infarction. This is not a case of a newly diagnosed illness, but rather a clinical portrait of therapeutic inertia and modifiable risk. The patient is onstandard medications but admits to inconsistent adherence. His lifestylecharacterized by a high-stress job, a diet rich in sodium and saturated fats, regular alcohol use, and physical inactivityactively undermines his pharmacologic therapy. He reports non-specific symptoms like fatigue and mild exertional dyspnea, which raise questions about potential end-organ effects or comorbid conditions like sleep apnea. Core Clinical Question: How do we effectively re-engage a patient in the