| Risk
Factors:
A.
Non-Modifiable:
-
Age
-
Sex
-
Genetics
-
Family
History
B.
Modifiable:
-
Smoking
-
Diabetes
-
High
Blood Pressure
-
Elevated
Cholesterol
-
High
LDL
-
Low
HDL (good cholesterol)
-
Obesity:
Weight - Apple -vs- Pear shape
-
Stress
-
No
Exercise / Sedentary lifestyle
-
Assessment:
-
Sedentary
/ No Exercise
-
Obesity
-
Stress
-
Family
history (MI, stroke):
-
Father
-
Mother
-
Brother
-
Sister
-
Son
-
Daughter
-
Grandmother
-
Grandfather
-
Uncle
-
Aunt
|
|
|
Causative
Factors to Heart Disease:
| Atherosclerosis: |
 |
| Coronary
Artery Vasospasm (muscular spasm): |
 |
| Blood
clot: |
|
| Low
hemoglobin |
|
| Excessive
increase in heart work requirements |
|
|
|
|
|
1.
Coronary Heart Disease/CHD: Sum Points for All Risk
Factors: |
| |
|
|
|
|
|
|
|
|
Age
+ |
HDL-C
+ |
Total-C
+ |
SBP
+ |
Smoker
+ |
Diabetes
+ |
ECG-LVH
= |
Point
Total |
|
|
|
|
2.
Look Up Risk Corresponding To Point Total: |
|
|
Probability |
|
Pts |
5
Yr. |
10
Yr. |
Pts |
5
Yr. |
10
Yr. |
|
1 or less than |
Less than 1% |
Less than 2 |
17 |
6% |
13% |
|
2 |
1% |
2% |
18 |
7% |
14% |
|
3 |
1% |
2% |
19 |
8% |
16% |
|
4 |
1% |
2% |
20 |
8% |
18% |
|
5 |
1% |
3% |
21 |
9% |
19% |
|
6 |
1% |
3% |
22 |
11% |
22% |
|
7 |
1% |
4% |
23 |
12% |
23% |
|
8 |
2% |
4% |
24 |
13% |
25% |
|
9 |
2% |
5% |
25 |
14% |
27% |
|
10 |
2% |
6% |
26 |
16% |
29% |
|
11 |
3% |
6% |
27 |
17% |
31% |
|
12 |
3% |
7% |
28 |
19% |
33% |
|
13 |
3% |
8% |
29 |
20% |
36% |
|
14 |
4% |
9% |
30 |
22% |
38% |
|
15 |
5% |
10% |
31 |
24% |
40% |
|
16 |
5% |
12% |
32 |
25% |
42% |
|
|
|
|
3.
Compare to Ave. 10 Yr Risk: |
|
|
Probability |
|
|
Age |
Women |
Men |
|
30-34 |
Less than 1% |
3% |
|
35-39 |
Less than 1% |
5% |
|
40-44 |
2% |
6% |
|
45-49 |
5% |
10% |
|
50-54 |
8% |
14% |
|
55-59 |
12% |
16% |
|
60-64 |
13% |
21% |
|
65-69 |
9% |
30% |
|
70-74 |
12% |
24% |
|
|
|
|
4.
Score: Points For Each Risk Factor: |
|
Age
(Female)
|
Age
(Male)
|
HDL
- Cholesterol
|
T-Cholesterol
|
Systolic
BP
|
Others:
|
|
Age |
Pts |
Age |
Pts |
HDL-C |
Pts |
Total-C |
Pts |
SBP |
Pts |
Risk |
Pts |
|
30 |
-12 |
30 |
-2 |
25-26 |
7 |
139-151 |
-3 |
98-104 |
-2 |
Smoking |
4 |
|
31 |
-11 |
31 |
-1 |
27-29 |
6 |
152-166 |
-2 |
150-112 |
-1 |
Diabetic (male) |
3 |
|
32 |
-9 |
32-33 |
0 |
30-32 |
5 |
167-182 |
-1 |
113-120 |
0 |
Diabetic (female) |
6 |
|
33 |
-8 |
34 |
1 |
33-35 |
4 |
183-199 |
0 |
121-129 |
1 |
ECG-LVH |
9 |
|
34 |
-6 |
35-36 |
2 |
36-38 |
3 |
200-219 |
1 |
130-139 |
2 |
0 Pts for each NO |
0 |
|
35 |
-5 |
37-38 |
3 |
39-42 |
2 |
220-239 |
2 |
140-149 |
3 |
|
|
36 |
-4 |
39 |
4 |
43-46 |
1 |
240-262 |
3 |
150-160 |
4 |
|
|
37 |
-3 |
40-41 |
5 |
47-50 |
0 |
263-288 |
4 |
161-172 |
5 |
|
|
38 |
-2 |
42-43 |
6 |
51-55 |
-1 |
289-315 |
5 |
173-185 |
6 |
|
|
39 |
-1 |
44-45 |
7 |
56-60 |
-2 |
316-330 |
6 |
|
|
|
|
40 |
0 |
46-47 |
8 |
61-66 |
-3 |
|
|
|
|
|
|
41 |
1 |
48-49 |
9 |
67-73 |
-4 |
|
|
|
|
|
|
42-43 |
2 |
50-51 |
10 |
74-80 |
-5 |
|
|
|
|
|
|
44 |
3 |
52-54 |
11 |
81-87 |
-6 |
|
|
|
|
|
|
45-46 |
4 |
55-56 |
12 |
88-96 |
-7 |
|
|
|
|
|
|
47-48 |
5 |
57-59 |
13 |
|
|
|
|
|
|
|
|
49-50 |
6 |
60-61 |
14 |
|
|
|
|
|
|
|
|
51-52 |
7 |
62-64 |
15 |
|
|
|
|
|
|
|
|
53-55 |
8 |
65-67 |
16 |
|
|
|
|
|
|
|
|
56-60 |
9 |
68-70 |
17 |
|
|
|
|
|
|
|
|
61-67 |
10 |
71-73 |
18 |
|
|
|
|
|
|
|
|
68-74 |
11 |
74 |
19 |
|
|
|
|
|
|
|
|
|