Lafayette General Medical Center-Risk Assessment

Risk Assessment

How at risk are you for a heart attack or stroke? The following risk assessment will help you find out. There are ways to reduce your risk of having a heart attack or stroke, but first, you have to know your personal characteristics and habits that could increase your chances of heart disease. There are things beyond human control. However, a few changes in daily habits could be the difference between a heart attack and a healthy heart.

Nicotine Usage
	Never
	Quit for more than 2 years
	Quit less than 2 years ago
	20 cigarettes per day or less
	More than 40 per day

Blood Pressure
	If you do not know your number
	Less than 120 mmHg
	121-130 mmHg
	131-140 mmHg
	141-160 mmHg
	161-180 mmHg
	200 or more

Exercise Characteristics
	If you exercise regularly
	Intensive occupational work and recreational exertion
	Moderate occupational work and recreational exertion
	Sedentary work and intense recreational exertion
	Sedentary work and moderate recreational exertion
	Sedentary work and light recreational exertion
	Sedentary work and no exercise

Family History
	No known history of heart disease
	1 relative, heart disease over 60
	2 relatives, heart disease over 60
	1 relative, heart disease under 60
	2 relatives, heart disease under 60
	3 relatives, heart disease under 60

Cholesterol
	If you do not know your level
	Below 180 mg/dL
	180-205 mg/dL
	206-230 mg/dL
	231-255 mg/dL
	256-280 mg/dL
	281 or more

Weight
	>5 lb. or more below standard
	-5 or +5 of standard weight
	6-20 lb. overweight
	21-35 lb. overweight
	36-50 lb. overweight
	Over 50 lb. overweight

Behavior Characteristics
	Always easy going, calm
	Easy going and calm most of the time
	Frequently impatient and clock watching
	Persistently driving for advancement in work and play
	Overwhelming ambition - slave to time and deadlines
	Hard-driving, hard charging, can never relax

Gender
	Female under age 40
	Female age 40-50
	Female over 50
	Male
	Stocky Male

Age
	10-20 years
	21-30 years
	31-40 years
	41-50 Years
	51-60 years
	61 years and older

Diabetes
	No known family history
	One relative with diabetes
	Two relatives with diabetes
	You have diabetes after 40
	You have diabetes between 20 & 50
	You had diabetes before 20