Which form of prevention (primary, secondary or tertiary) would be the main form of prevention appropriate for this patient and why?

Case: You are a physician assistant taking care of a 65-year old retired man with a history of cardiovascular disease, including two heart attacks. A thorough history and physical exam reveal: height= 170 cm, weight= 80 kg, BP= 150/90, HR= 100 bpm, LDL= 200 mg/dl, TG= 250 mg/dl, HDL= 30 mg/dl, FPG=80 mg/dl and HbA1c= 3%. As a grandfather, your patient spends most of his days taking care of his grandchildren while the parents, who both work full-time, are at work.

Which form of prevention (primary, secondary or tertiary) would be the main form of prevention appropriate for this patient and why?