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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 35 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 126mg/dl or greater?
    Yes    No
  10. Have you been told that you have coronary artery disease, carotid artery disease, or have you had a stroke or TIA (transient ischemic attack)?
    Yes    No

References:

  • American Heart Association
  • National Heart, Lung, and Blood Institute Information Center
    P.O. Box 30105, Bethesda, MD 20824-0105
  • NIH Publication No. 92-2724 reviewed December 2002
  • NIH Publication 93-2265 reviewed December 2002

  • This screening assessment was reviewed and updated June 2007.

       
     
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