The patient was diagnosed with angina pectoris and begun on a cardiac work up to document extend of the coronary involvement. His facial lesions in the superior palpebral folds are diagnostic of xantelasmata.
The patient’s total cholesterol was 224 mg/dl, the LDL cholesterol was 165 mg/dl. The HDL cholesterol was 46 mg/dl. The patient’s fasting blood glucose was 103 mg/dl. Obviously, the patient has criteria at this time to suspect metabolic syndrome.