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Heart Failure and Transplant Program
 
   
 
 
 

 
 
 
Your heart works for you 24 hours a day, every day of your life. Only when something goes wrong do we take the time to consider our risk
of coronary heart disease. The best time to think about your heart is right now. You can do something about your risk of coronary heart disease. Start by assessing your risks. Answer YES or NO to the following questions...
 
Your Diet

1. Do you often eat low-fat, high-fiber foods such as fruits, vegetables, grains and polyunsaturated oils?
YES or  NO
 
2. Do you seldom eat high-fat, high-cholesterol foods such as fried foods, gravies, butter, eggs and cream?
YES or  NO
 
3. Has your blood cholesterol level been tested?

YES or  NO
 
4. Is your total blood cholesterol level under 200?

YES or  NO
 
5. Do you maintain your weight within 10 percent of your desirable weight?

YES or  NO
 
Smoking Habits

6. Have you never smoked cigarettes, pipes or cigars?

YES or  NO
 
7. Did you used to smoke, but quit at least one year ago?

YES or  NO
 
8. Do you smoke, but less than four cigarettes a day?

YES or  NO
 
Your Blood Pressure

9. Do you have your blood pressure monitored regularly by your physician?

YES or  NO
 
10. Is your blood pressure 140/90 or less?

YES or  NO
 
11. Do you avoid lots of salty foods?

YES or  NO
 
Your Family History

12. Have your family members been free of coronary heart disease before age 40?

YES or  NO
 
13. Have your family members been free of diabetes?

YES or  NO
 
Physical Activity

14. Do you exercise for 30 minutes at least 3 times a week?

YES or  NO
 
15. Does your exercise program include aerobic workouts such as walking, jogging, swimming, cycling, rowing, or vigorous dance?

YES or  NO
 
Your Stress Level

16. Are you relatively free of stress at work or in your personal life?

YES or  NO
 
17. Are you easygoing, not prone to hostility, yet still able to express your anger in a constructive way?

YES or  NO
 
18. Do you practice relaxation techniques, such as visualization and deep breathing exercises?

YES or  NO
 
19. Do you have a regular exercise program that you enjoy?

YES or  NO
 
 
 
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