Which assessment finding most strongly indicates risk for heart disease?

• A. Normal blood pressure and BMI
• B. Elevated blood pressure with overweight
• C. Normal lipid profile
• D. Regular exercise

Answer: (B)

Elevated blood pressure with overweight shows two major, modifiable risk factors for heart disease in one person. Hypertension strains the heart and damages arteries, while excess weight—especially when it accompanies higher blood pressure—adds to the risk by promoting insulin resistance, inflammation, and further cardiovascular stress. When both are present, the overall risk is substantially higher than with any single factor.

The other scenarios indicate lower risk factors or protective factors: normal blood pressure and BMI suggest a healthier vascular and metabolic profile; a normal lipid profile is favorable but doesn’t address the blood pressure/weight combination; regular exercise helps reduce risk rather than signal it.