Patient is a 33 y/o Caucasian male, 5'3" 140lbs, non-smoke non-drink no Rx, semi-athletic, with the following symptoms:
Last 5 visits from Sep 2010 to May 2011
avg BP over last 5 visits 110/70
avg resting HR over last 5 visits 88
lipids panel performed mid-May: Chol 250, LDL 167, up from Jan 2004: Chol 199, LDL 113
Patient claims he drinks only water for everything (no coffee, no alcohol, no milk, etc.)
Patient claims he dislikes medicine of any form and tries to avoid the necessity (suffering through mild illnesses like colds, headaches, etc.)
Patient claims he does not eat any seafood
Patient claims he lost 20 lbs over 3 months (Jan 2011 to Mar 2011) using diet and exercise exclusively (157 down to 138 and now steady at 140, May 2011)
Patient wants to know if he is at risk for heart conditions purely because of Chol and LDL, but believes his mitigating factors (claims) listed above are preventing it and will continue to do so. He also does not understand how his resting HR is so high, but his BP is so low.
I could use some help answering his questions. Thank you!