[Solved]: You are volunteering at a Women’s Health clinic and…

You are volunteering at a Women’s Health clinic and you have a patient who is complaining of fatigue, shortness of breath, and reoccuring chest pain (it comes and goes). She is a 36-year-old African American female, with two children, a very demanding job, and quite a bit on her plate. She volunteers at church, is also helping take care of her mother, and is very active in her community. You ask about her family history and run some tests, finding the following results: her mother had a stroke at age 58, her aunt had atherosclerosis, and her grandfather passed away from a heart attack. Her BP is 169/105 mmHg, her BMI is 33, her total cholesterol is 252 mg/dl, and her fasting blood glucose is 153 mg/dl. You run an EKG and find that it appears normal, although with a slightly decreased ST segment (below). What do you think may be going on with this patient? What is your diagnosis? What is your prognosis? And what exactly do you advise her to do?