A 52-year-old woman presents to your clinic for a health maintenance evaluation. She is married with 3 children and works as a data analyst for a local computer company. She has not been seen by a physician for the previous 8 years. She denies any chronic medical conditions, is taking no medications, and is currently asymptomatic. Family history reveals that her mother had a myocardial infarction (MI) at age 62.

Your patient’s vital signs are as follows: blood pressure, 138/82 mm Hg; heart rate, 72 beats/min (bpm), strong and regular; respiratory rate, 18 breaths/min and regular; and body mass index (BMI), 29. The rest of her physical examination is normal.