Heart Disease Risk Assessment
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.
| Risk Factor | Score | Your 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 don’t 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, carotid artery disease | 2 | |
| 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 fat | 2 | |
| 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. Don’t bite off too much at one time. The process of change should be slow, committed, persistent, and permanent.
(heartseries.org)
For more health information, please visit our Heart Health page.
For physician appointment information, please call 520-MyHeart (694-3278).
