**Question:** All of the following dietary goals are recommended for patients with high risk of coronary heart disease, Except

A. Reduce saturated fats and trans-fats
B. Increase polyunsaturated fatty acids
C. Increase dietary fibre
D. Increase salt intake

**Core Concept:**

Incorporating dietary modifications is a fundamental aspect of managing patients with high risk of coronary heart disease (CHD). The goal of dietary interventions is to reduce the risk of developing CHD by regulating the intake of saturated and trans-fats, which are known to increase LDL cholesterol levels, leading to plaque formation in the arteries. On the other hand, increasing polyunsaturated fatty acids, dietary fiber, and maintaining a balanced salt intake can have positive effects on cardiovascular health.

**Why the Correct Answer is Right:**

Option D (Increase salt intake) is incorrect because excessive sodium intake is associated with increased blood pressure, contributing to the development and progression of CHD. By reducing salt intake, we can help lower blood pressure and subsequently decrease the risk of CHD.

**Why Each Wrong Option is Incorrect:**

Option A (Reduce saturated fats and trans-fats) is crucial as they contribute to elevating LDL (bad) cholesterol levels, which can lead to atherosclerosis and increased risk of CHD.

Option B (Increase polyunsaturated fatty acids) is important as they can help reduce LDL cholesterol levels, promoting cardiovascular health.

Option C (Increase dietary fiber) is beneficial as dietary fiber can help lower cholesterol levels, blood pressure, and improve overall cardiovascular health.

**Clinical Pearl:**

For optimal cardiovascular health, it is essential to maintain a balanced diet that focuses on reducing saturated and trans-fats, while promoting the intake of polyunsaturated fatty acids and dietary fiber. Additionally, it is crucial to limit salt intake to reduce blood pressure and subsequent risk of CHD.