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Arizona Heart Institute Cardiovascular Risk Factor Analysis

Directions

Indicate the points that you have scored in the column on the right for each of the following risk factors. When you finish, total your points and compare that with the results at the end of the activity.

  Risk Factors Score  
1. Age 56 or over 1
    Age 55 or under 0
2. Gender Male 1
    Female 0
3. Family History If you have:  
    Blood relatives who have had a heart attack or stroke at or before age 60 12
    Blood relatives who have had a heart attack or stroke after age 60 6
    No blood relatives who have had a heart attack or stroke 0
4. Personal History If you have:  
    50 or under: If you had either a heart attack, a stroke, heart or blood vessel surgery 20
    51 or over: If you had any of the above 10
    None of the above 0
5. Diabetes Diabetes before age 40 and now on insulin 10
    Diabetes at or after age 40 and now on insulin or pills 5
    Diabetes controlled by diet, or diabetes after age 55 3
    No diabetes 0
6. Smoking Two packs per day 10
    Between one and two packs per day or quit smoking less than a year ago 6
    If you smoke six or more cigars a day or inhale a pipe regularly 6
    Less than one pack per day or quit smoking more than 1 year ago 3
    Never smoked 0
7. Cholesterol (If cholesterol count is not known, answer 8) Cholesterol -- 276 or above 10
    Cholesterol -- between 225 and 275 5
    Cholesterol -- 224 or below 0
8. Diet (If you have answered 7, do Does your normal eating pattern include:  
    One serving of red meat daily, more than seven eggs a week, and daily consumption of butter, whole milk, and cheese 8
    Red meat 4-6 times a week, 4-7 eggs a week, margarine, low fat dairy products, and some cheese 4
    Poultry, fish, little or no red meat, three or fewer eggs a week, some margarine, skim milk, and skim milk products 0
9. High blood pressure If either number is:  
    160 over 100 (160/100) or higher 10
    140 over 90 (140/90) but less than 160 over 100 (160/100) 5
    If both numbers are less than 140 over 90 (140/90) 0
10. Weight Ideal weight formula:
Men = 110 lb plus 5 lb for each inch over 5 feet
Women = 100 lb plus 5 lb for each inch over 5 feet
 
    25 lb overweight 4
    10 to 24 lb overweight 2
    Less than 10 lb overweight 0
11. Exercise Do you engage in any aerobic exercise (brisk walking, jogging, bicycling, racquetball, swimming) for more than 15 minutes:  
    Less than once a week 4
    1 to 2 times a week 2
    3 or more times a week 0
12. Stress Are you:  
    Frustrated when waiting in line, often in a hurry to complete work or keep appointments, easily angered, irritable 4
    Impatient when waiting, occasionally hurried, or occasionally moody 2
    Comfortable when waiting, seldom rushed, and easygoing 0
    Total Points ___
Score results:

PLEASE NOTE: A high score does not mean you will develop heart disease. It is merely a guide to make you aware of a potential risk. Since no two people are alike, an exact prediction is impossible without further individualized testing.

With answer to question 9 Without answer to question 9
High risk 40 and above High risk 36 and above
Medium risk 20-39 Medium risk 19-35
Low risk 19 and below Low risk 18 and below