1. Are you 65 years or older?
____ Yes
____ No

2. Are you
____ Male?
____ Female?

3. Did your parents have heart disease?
____ Yes
____ No

4. Are you
____ African American?
____ Mexican American?
____ American Indian?
____ Native Hawaiian?

5. Do you smoke?
____ Yes
____ No

6. Do you have high blood cholesterol?
____ Yes
____ No

7. Do you have high blood pressure?
____ Yes
____ No

8. Do you exercise regularly?
____Yes
____ No

9. Are you overweight?
____ Yes
____ No

10. Do you have diabetes mellitus?
____ Yes
____ No

Answers:

Risk factors that cannot be changed:

1. Age – 65 and older have increased risk.
2. Sex – Men have a greater risk.
3. Heredity – family history of heart disease.
4. African American, Mexican American, American Indians, and native Hawaiians have a higher risk.

Risk factors you can modify, treat, or control:

5. Smokers - have 2 – 4 times higher risk than non-smokers.
6. As blood cholesterol rises, so does risk.
7. High blood pressure increases the heart’s workload and increases risk for heart attack, stroke, kidney failure, and congestive heart failure.
8. An inactive lifestyle is a risk.
9. Excess body fat increases risk particularly body fat around the waist.
10. Diabetes seriously increases risk.