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ACSM

010-111 · Question #93

The risk of developing a myocardial infarction increases when there is a family history of myocardial infarction or sudden death before the ages of:

The correct answer is C. 55 years of age in a first-degree male relative; 65 years of age in a first-degree female relative. ACSM guidelines define premature cardiovascular family history as MI or sudden death before age 55 in a first-degree male relative or before age 65 in a first-degree female relative.

Initial Client Consultation and Assessment

Question

The risk of developing a myocardial infarction increases when there is a family history of myocardial infarction or sudden death before the ages of:

Options

  • A50 years of age in a first-degree female relative; 60 years of age in a first-degree male relative
  • B50 years of age in any male relative; 60 years of age in any female relative
  • C55 years of age in a first-degree male relative; 65 years of age in a first-degree female relative
  • D55 years of age in any male relative; 65 years of age in any female relative

How the community answered

(17 responses)
  • A
    6% (1)
  • B
    18% (3)
  • C
    71% (12)
  • D
    6% (1)

Why each option

ACSM guidelines define premature cardiovascular family history as MI or sudden death before age 55 in a first-degree male relative or before age 65 in a first-degree female relative.

A50 years of age in a first-degree female relative; 60 years of age in a first-degree male relative

This reverses the sex-specific age thresholds - ACSM assigns 55 years to males and 65 years to females, not 50 to females and 60 to males.

B50 years of age in any male relative; 60 years of age in any female relative

This option incorrectly applies the risk to 'any' male or female relative rather than restricting it to first-degree relatives as defined by ACSM criteria.

C55 years of age in a first-degree male relative; 65 years of age in a first-degree female relativeCorrect

ACSM cardiovascular risk stratification specifies a positive family history risk factor as MI or sudden death before age 55 in a first-degree male relative (father, brother, or son) or before age 65 in a first-degree female relative (mother, sister, or daughter). These sex-specific thresholds reflect the delayed onset of cardiovascular disease in women due to premenopausal hormonal protection. This criterion is a standard element of pre-participation health screening and risk classification.

D55 years of age in any male relative; 65 years of age in any female relative

This option uses the correct age thresholds but incorrectly broadens eligibility to 'any' relative rather than the first-degree relatives specified in ACSM guidelines.

Concept tested: ACSM family history cardiovascular risk factor thresholds

Source: https://www.acsm.org/education-resources/books/acsms-guidelines-for-exercise-testing-and-prescription

Topics

#family history#myocardial infarction risk#cardiovascular risk factors#ACSM criteria

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