Heart Disease Risk Assessment

/#content-header
RISK FACTOR ANALYSIS (From the Heart Series -
heartseries.org)

DIRECTIONS: Note your score for the various risk factors. Total your
points at the end and find your risk band for predicting your 10-year risk
of coronary heart disease (CHD) - angina, myocardial infarction (MI),
death from CHD - in males older than 45 years, females older than 55
years.
Score Your
Risk Factor
Score
AGE
Male 45 55 2
Male 56 65 3
Male 65 75 4
Male > 75 5
Female 55 65 2
Female 66 75 4
Female > 75 5

HYPERTENSION (High Blood Pressure - BP)

Never hypertensive; BP below 140/90 0
Treated hypertension; BP average below 140/90 1
Treated hypertension; BP average above 140/90 2
Untreated hypertension; BP usually above 140/90 3

SMOKING
Never smoked or nonsmoker for 5 or more years 0
Smoker for less than 10 years 1
Smoker for 10 - 20 years 2
Smoker for more than 20 years 3
DIABETES
Absent 0
Adult onset, treated with diet alone 1
Adult onset, treated with pills and/or insulin 2
Juvenile onset, insulin dependent 3

ACTIVITY LEVEL (aerobic exercise, at least 30

minutes per session)
5 or more times/week 0
2-4 times/week 1
0-1 times/week 2

TOTAL CHOLESTEROL
Below 200 0
Above 200 1

LDL (bad) CHOLESTEROL

below 70 0
70 100 0.5
above 100 1

HDL (good) CHOLESTEROL

Above 45 (female) 0
Above 40 (male) 0
Below 45 (female) 1
Below 40 (male) 1

TRIGLYCERIDES
Below 150 0
Above 150 1

WAIST CIRCUMFERENCE
Male more than 40 inches 2
Female more than 35 inches 2
Male less than 40 inches 0
Female less than 35 inches 0

STRESS LEVEL (personal perception)

I dont feel stress 0
I feel stressed 1-2 times per week 1
I feel stressed most days 2
I feel stress everyday 3

BODY MASS INDEX (Click for calculation link)

Below 25 0
25-29.9 overweight 1
Above 30 obese 2
Above 40 severe obesity 3

FAMILY HISTORY (heart attack or angina in sibling

or parent under the age of 55 if male, 65 if female)
No family history 0
One family member 1
More than one family member 2

PERIPHERAL VASCULAR DISEASE

None 0
History of stroke, TIA, claudication, aortic aneurysm,
2
carotid artery disease

CORONARY ARTERY DISEASE

No known history 0
Known plaque through calcium score, angiogram 1
Prior MI or intervention (bypass, stent) 3
 DIET/NUTRITION
Vegan (no meat or dairy) 0
Vegetarian (no meat) 1
Eat everything, but no trans and minimum saturated
2
fat
No restrictions to what I eat 3
Maximum total points 38 Your TOTAL _______
RISK BANDS (Percent risk of having a heart attack or stroke during the
next 10 years)
0-4 - Lowest risk (less than 3 percent) - Heart attack extremely unlikely.
5-9 - Low risk (3-8 percent) - You are doing most things right, but you
can probably do some fine-tuning. If you pay attention, you will live a
long, healthy, active, and productive life.
10-13 - Moderate risk (9-14 percent) - You do some things right, but you
have work to do. Identify your risk factors and take corrective action.
14-16 - High risk (15-19 percent) - You stand a good chance of having a
first heart attack before you are 55, if male, and 65, if female. If you have
already had a heart attack, you are at high risk for a repeat performance.
Over 16 - Extreme risk (greater than 20 percent) - Unless you have a
death wish, you have work to do. It will take time and effort to move to
the lower risk categories. Dont bite off too much at one time. The
process of change should be slow, committed, persistent, and
permanent.