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Risk Assessment Screen for Coronary Heart Disease

Answer the following questions to get an idea of your overall risk for developing coronary artery disease. Remember, risk is based on multiple factors, so your physician is the best person to help you determine your personal risk for developing coronary artery disease.

  1. Are you a man older than 45?
    Yes    No
    Or are you a woman older than 55 or already starting menopause?
    Yes    No
  2. Do you smoke, live or work with people who are smoking in your presence everyday?
    Yes    No
  3. Is your total cholesterol level 240 mg/dL or higher?
    Yes    No    Unsure
  4. Is your HDL (good cholesterol) less than 40 mg/dL?
    Yes    No    Unsure
  5. Is your blood pressure 140/90 mm/Hg or higher?
    Yes    No    Unsure
  6. Do you engage in less than a total of 30 minutes of physical activity on most days?
    Yes    No
  7. Do you have a family history of coronary heart disease in first-degree relatives (male relatives under age 55; female relatives under age 65)?
    Yes    No
  8. Are you considered 20 pounds or more overweight for your height and build?
    Yes    No
  9. Have you been diagnosed with diabetes or have you had a fasting blood sugar of 126 mg/dL or greater?
    Yes    No
  10. Have you had a heart attack, stroke or transient ischemic attack (TIA) or do you have carotid artery disease or peripheral artery disease?
    Yes    No

Sources:

American Heart Association
National Heart, Lung, and Blood Institute

This screening assessment was reviewed and updated June 2007.


Tue, Dec 2, 2008



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