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Aug 15, 2014

Take a Test for Heart Disease













The following test gives a broad measure of heart-disease risk..  The text is excerpted from Health Risks by Dr. Elliot Howard, a New York City internist and cardiologist.  It is based largely on statistics from government-sponsored studies and censuses, plus Howard's work on individual risk factors.  It should be noted that the results provide the average risk for the average individual who gives the same answer.  Yet it is possible to score in the very high risk group and live a long life.


Answer each statement.

Personal

Your sex and age is:
+0                    Woman younger than 55
+1                    Man younger than 55
+2                    Woman 55 or older
+3                    Man 55 to 65
+4                    Man 65 or older

Among your close blood relatives, there have been heart attacks:
+0                    In no parent, grandparent, aunt, or uncle                                    before the age of 60         
+1                    In one or more parents, grandparents,                                        aunts or uncles after age of 60
+2                    In one parent, grandparent, aunt or uncle                                  before age 60
+3                    In two of the above relatives before age 60
+4                    In more than two of the above relatives                                      before age 60

Among your close blood relatives, the following medical conditions existed:
+0                    No serious high blood pressure, diabetes                                  or high cholesterol
+1                    Serious high blood pressure, diabetes or                                    high cholesterol in only one close relative 
 +2                    Serious high blood pressure, diabetes or                                   high cholesterol in two close relatives
 +3                    Serious high blood pressure, diabetes or                                   high cholesterol in more than two relatives

Cholesterol

Your serum cholesterol level is:
+0                   190 or below
+2                   191 to 230
+6                   231 to 289
+12                 290 to 319
+16                 Over 320

Your HDL cholesterol is:
 -2                    Over 60
 +0                    45 to 60
 +2                    35 to 44
 +6                    29 to 34
 +12                  23 to 28
 +16                  Below 23

Smoking

You smoke now or have in the past:
+0                    Never smoked, or quit more than 5 years                                 ago
+1                    Quit 2 to 4 years ago
+3                    Quit about 1 year ago
+6                    Quit during the past year

You smoke now:
+9                   1/2 to 1 pack a day
+12                 1 to 2 packs a day
+15                 More than 2 packs a day

The quality of the air you breathe is:
+0                    Unpolluted by smoke, exhaust or industry                                at home and work
+2                    Live or work with smokers in unpolluted                                   area
+4                    Live and work with smokers in unpolluted                                 area
+6                    Live or work with smokers and live or work in air-polluted     area
+8                    Live and work with smokers and live and                                   work in air-polluted area

Blood Pressure

Your blood pressure is:
+0                   120/75 or below
+2                   120/75 to 140/85
+6                   140/85 to 150/90
+8                   150/90 to 175/100
+10                 175/100 to 190/110
+12                 190/110 or over

Exercise

Your exercise habits are:
+0                    Exercise vigorously 4 or 5 times a week
+2                    Exercise moderately 4 or 5 times a week
+4                    Exercise only on weekends
+6                    Exercise occasionally
+8                    Little or no exercise

Weight

Your weight history is:
+0                    Always at or near ideal weight
+1                    Now 10 percent overweight
+2                    Now 20 percent overweight
+3                    Now 30 percent or more overweight
+4                    Now 20 percent or more overweight and                                     have been since before age 30

Stress

You feel over stressed:
+0                    Rarely at work or at home
+3                    Somewhat at home but not at work
+5                    Somewhat at work but not at home
+7                    Somewhat at work and home
+9                    Usually, at work or home
+12                  Usually, at work and at home

Diabetes

Your diabetic history is:
+0                    Blood sugar always normal
+2                    Blood glucose slightly high (pre-diabetic) or                         slightly low (hypoglycemic)
+4                    Diabetic beginning after age 40 requiring                           strict dietary or insulin control
+5                    Diabetic beginning before age 30 requiring                         strict dietary or insulin control

Alcohol

You drink alcoholic beverages:

+0                    Never or only socially, about once or twice                           a month, or only 5 ounces of wine or 12             ounces of beer or 1.5 ounces of hard liquor about 5 times a week
 +2                    Two to three 5 ounce servings of wine or 12 ounces of beer or 1.5 ounces of hard liquor about 5 times a week
 +4                    More than three 1.5 ounces of hard liquor or more than three 5 ounce servings of wine or 12 ounce servings of beer almost daily


Interpreting Your Score

Add all scores together and check below:

0 to 20:     Low risk.  Excellent family history and lifestyle habits.

21 to 50:     Moderate risk.  Family history or lifestyle habits put you at some risk.  You might lower your risks and minimize your genetic predisposition if you change your poor habits.

51 to 74:     High risk.  Habits and family history indicate high risk of heart disease.  Change your habits now.

Above 75:   Very high risk.  Family history and a lifetime of poor habits put you at very high risk of heart disease.  Eliminate as many of the risk factors as you can.
                       
Heart disease is the number one killer for men & women.  If you scored poorly on this questionnaire please make an appointment to go over what you can do to lower your risk.