Which statement by a client indicates understanding of the relationship between diet, smoking, and coronary artery disease?

The statement acknowledging that high fat in the diet and smoking can cause episodes of chest pain is accurate and demonstrates a clear understanding of the relationship between lifestyle factors and coronary artery disease. High dietary fat intake can lead to the buildup of plaque in the arteries, a condition known as atherosclerosis, which narrows the arteries and restricts blood flow, thereby increasing the risk of angina. Additionally, smoking contributes to vascular damage, increases heart rate, and promotes further atherosclerosis, all of which can exacerbate chest pain associated with coronary artery disease. This awareness encourages proactive management of both dietary habits and smoking cessation as essential components in preventing the progression of heart disease and reducing the occurrence of angina episodes.