Posted: July 24th, 2017

A 45-year-old man has a left ventricular ejection fraction of 25% (N>55%) with diffuse hypokinesis. He has a sedentary life-style. He eats red meat up to 6 times weekly and drinks 4 alcoholic beverages daily. He is 185 cm (6 ft 1 in) tall and weighs 86 kg (190 lb); BMI is 25 kg/m2 . His blood pressure is 90/60 mm Hg. Coronary arteriography shows no evidence of atherosclerosis. To prevent further heart damage, which of the following is the most appropriate recommendation?

A 45-year-old man has a left ventricular ejection
fraction of 25% (N>55%) with diffuse
hypokinesis. He has a sedentary life-style. He
eats red meat up to 6 times weekly and drinks 4
alcoholic beverages daily. He is 185 cm (6 ft 1
in) tall and weighs 86 kg (190 lb); BMI is 25
kg/m2
. His blood pressure is 90/60 mm Hg.
Coronary arteriography shows no evidence of
atherosclerosis. To prevent further heart damage,
which of the following is the most appropriate
recommendation?
(A) Aerobic exercise program
(B) Avoidance of alcohol
(C) Ingestion of more vegetables and
decrease in red meat intake
(D) Isometric/weight-training exercise
program
(E) Weight loss